Toxic Shock Syndrome Case Report Form - Minnesota Dept. of Health

Toxic Shock Syndrome Case Report Form

This is the reporting form for Toxic Shock Syndrome (TSS) to the Minnesota Department of Health.

On this page:
TSS form
Frequently asked questions
Returning the completed form
Diseases to report on this form

TSS form

Frequently asked questions

  • If you have questions regarding the Toxic Shock Syndrome Case Report Form, please call 651-201-5414.

  • When reporting on a Toxic Shock Syndrome Case Report Form, a Yellow Card is not necessary.
    no yellow card

Returning the completed form

After filling out the Toxic Shock Syndrome Case Report Form, please return the completed form to MDH:
  • By fax to:
    651-201-5743
  • By mail (please mark the envelope "confidential") to:
    Infectious Disease Epidemiology, Prevention and Control
    625 North Robert Street
    Post Office Box 64975
    St. Paul, MN 55164-0975

Diseases to report with this form

Updated Tuesday, 10-Jan-2017 12:00:51 CST