Reportable Diseases Templates

This Form is used for reporting cases of cholera in the state of Washington.

This form is used for reporting cases of Hepatitis E in Washington state. It is used by healthcare providers to track and monitor the spread of this disease.

This form is used for reporting cases of leptospirosis in Washington state.

This form is used for reporting cases of malaria in Washington state. It helps the Department of Health track and monitor the spread of the disease in order to take appropriate public health measures.

This form is used for reporting cases of measles in the state of Washington.

This form is used for reporting cases of plague in Washington state.

This form is used for reporting cases of human prion disease in Washington state.

This form is used for reporting cases of Rubella in the state of Washington. It is required to be filled out by healthcare providers and submitted to the Department of Health.

This form is used for reporting cases of shigellosis, a contagious bacterial infection, in Washington state.

This form is used for reporting cases of Trichinosis in the state of Washington.

This form is used for reporting Varicella (chickenpox) related deaths in the state of Washington.

This Form is used for reporting cases of West Nile Virus Disease in Washington state.

This form is used for reporting cases of Yersiniosis in the state of Washington.

This form is used for reporting confidential sexually transmitted disease cases in Pend Oreille County, Washington.

This Form is used for reporting confidential cases of sexually transmitted diseases in Stevens County, Washington.

This form is used for reporting cases of reportable diseases in West Virginia. It helps health authorities track and monitor the spread of infectious diseases.

This document is a confidential disease report specific to the state of Wyoming. It contains information related to the diagnosis and reporting of certain diseases in Wyoming.

This form is used for reporting positive laboratory findings for reportable diseases in the state of Ohio.

This form is used for reporting cases of swine influenza.

This form is used for reporting confidential information about communicable diseases in the state of Indiana.

This document is used for reporting diseases in the state of Louisiana.

This form is used for reporting notifiable diseases in Washington, D.C. It helps in tracking and monitoring infectious diseases to protect public health.

This document is used for reporting cases of sexually transmitted diseases (STDs), HIV, and viral hepatitis in the state of Wyoming. It helps to track and monitor the prevalence of these diseases in the state.

This document is used for reporting serious injury incidents and communicable diseases in long-term care facilities in Illinois.

This form is used for reporting cases of human rabies in the state of Washington. It is an important document for tracking and monitoring rabies in the population.

This document is used for reporting confidential information about HIV/AIDS cases among adults in New Mexico.