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:
Form
Frequently asked questions
Diseases to report on this form
Returning the completed form
Order more forms

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.

Diseases to report this form

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

Updated Thursday, 09-Jan-2014 11:47:28 CST