Methods of Reporting Disease
- Methods of Reporting Disease Home
- Report Immediately by Telephone
- Phone Reporting
- Report Forms:
- Yellow Card
- ABCs
- Arboviral
- Blastomycosis
- Foodborne
- HIV/AIDS
- Legionellosis
- Malaria
- MRSA
- Mumps
- Neonatal Sepsis
- Pertussis
- Severe GAS
- S. aureus
- STD
- Tickborne
- TSS
- Toxoplasmosis
- VISA/VRSA
- Varicella - Order Reporting Forms
Infectious Disease Reporting
Related Topics
Contact Info
Infectious Disease Epidemiology, Prevention and Control Division
651-201-5414
Varicella Reporting Form
This form can be used to report varicella (chickenpox) to the Minnesota Department of Health.
On this page:
Varicella report form
Frequently asked questions
Returning the completed form
Varicella report form
- Varicella Report Form (PDF)
Updated 5/2018
Frequently asked questions
- If you have questions regarding this form, please call 651-201-5414.
- When reporting on this form, a Yellow Card is not necessary.
Returning the completed form
After filling out this form, please return to MDH:- By fax to: 651-201-4820 (for vaccine-preventable diseases) or 651-201-5743 (for all reportable diseases)
- By mail (please mark the envelope "confidential") to:
Infectious Disease Epidemiology, Prevention and Control
625 North Robert St.
PO Box 64975
St. Paul, MN 55164