Toxic Shock Syndrome Case Report Form
This is the reporting form for Toxic Shock Syndrome (TSS) to the Minnesota Department of Health.
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Form
Frequently asked questions
Diseases to report on this form
Returning the completed form
Order more forms
Form
- Download a print version of the Toxic Shock Syndrome Case Report Form (PDF: 187KB/2 pages). Posted 6/23/09
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
- By fax to:

