Report a Disease

Remember: All reports should be made to the patient's local health department.

Please include the following information when calling to report:

  • Patient: name, date of birth, race, gender
  • Patient’s contact information: home phone, work phone, address
  • Disease
  • Method of diagnosis
  • Date of onset
  • Lab test results
  • Treatment given
  • Possible source
  • Attending physician & phone number, comments
  • Person making report: name & title, phone number
  • Hospital admission/ER visit date
  • Discharge date