"HIV/AIDS Confidential Case Report Forms - Minnesota Dept. of Health"

HIV/AIDS Confidential Case Report Forms

These forms are used to report cases of Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (AIDS) in Minnesota residents to the Minnesota Department of Health.

On this page:
HIV/AIDS forms
Frequently asked questions
Returning the completed forms
Diseases to report on these forms

HIV/AIDS forms

Frequently asked questions

Returning the completed form

After filling out the form please mark "confidential" and return it to MDH:

  • by secure fax to:
    ATTN: HIV Surveillance Unit
    1-800-318-8137

  • by mail (please mark the envelope "confidential") to:
    Minnesota Department of Health
    ATTN: HIV Surveillance Unit
    Infectious Disease Epidemiology, Prevention and Control
    625 North Robert Street
    Post Office Box 64975
    St. Paul, MN 55164-0975

  • Do not under any circumstances e-mail the completed form.

Diseases to report using these forms

Updated Tuesday, 26-May-2020 11:08:33 CDT