Toxoplasmosis Case Report Form

This is the form for for health professionals to report Toxoplasmosis to the Minnesota Department of Health.

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

Form

• Toxoplasmosis Case Report Form (PDF)
  Updated 3/2016
   

Frequently asked questions

• If you have questions regarding the Toxoplasmosis Case Report Form, please call 651-201-5414.
   
• When reporting on a Toxoplasmosis Case Report Form, a Yellow Card is not necessary.

Returning the completed form

After filling out the Toxoplasmosis Case Report Form, please return the completed form to MDH:

• By fax to:
  1-800-233-1817
• 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

• Reporting Toxoplasmosis (Toxoplasma gondii)