A-C

• Anthrax Case Investigation Form ( PDF, 18KB)
  
  
• Botulism Forms
  Foodborne Investigation Form ( PDF, 18KB) Revised
  Infant Investigation Form (  PDF, 20KB) Revised
  
  
• Brucellosis Case Investigation Form (  PDF, 61.2KB)
  
  
• Communicable Disease Reporting Forms
  EPI-1 (  PDF, 78.3KB)
  EPI-2 (  PDF, 66.6KB)
  
  
•  Contaminated Sharps Injury Reporting Forms, November 9, 2004
  
  
•  Cruetzfeld Jakob Disease(  PDF, 78.3KB)
  
  
  

E-I

• Escherichia coli O157:H7 and Hemolytic Uremic Syndrome Investigation Form, 1998 revision (  PDF, 20KB) Revised
  
  
• Escherichia coli O157:H7 Food History Listing Form (  PDF, 62KB)
  
  
• Foodborne Outbreak Investigation Form (  PDF, 33KB)
  
  
• Haemophilus influenzae Investigation Form (  PDF, 31.1KB)
  
  
• Hansen's Disease Investigation Forms
  
  
• Hantavirus Pulmonary Syndrome Form, CDC (  PDF, 187KB)
  
  
• Hepatitis B Investigation Form  (  PDF, 25KB)
  
  
• Hepatitis B, Perinatal
  Contact Investigation Form  (  PDF, 48KB)
  Infant Investigation Form  (  PDF, 48KB)
  Mother Investigation Form  (  PDF, 36KB)
  
  
• Hepatitis (Viral) Surveillance Report Form, CDC (  PDF, 96KB)
  
  
• Hypothesis Generating Questionnaire for Gastroenteritis Complaints (  PDF, 14KB)
  
  
• Influenza-Associated Pediatric Death Investigation Form (  PDF, 70KB)
  
  

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L-Q

• Legionnaires' Case Investigation Form, April 2002 revision (  PDF, 32KB) Revised
  
  
• Leishmaniasis Case Investigation Form (  PDF, 113KB) New!
  
  
• Listeria Case (with supplemental medical history form) Form, CDC (  PDF, 197KB) Revised
  
  
• Lyme Case Investigation Form (  PDF, 55.0KB)
  
  
• Malaria Investigation Form, CDC (  PDF, 118KB)
  
  
• Measles (Rash-Fever) Investigation Form (  PDF, 98.4KB)
  
  
• Meningitis (Aseptic, Bacterial, and Other) Investigation Form (  PDF, 16KB) Revised
  
  
• Meningococcal (Neisseria Meningitidis) Investigation Form (  PDF, 123KB) New!
  
  
• Mosquito Borne Illness Case Investigation Form (  PDF, 73KB)
  Used for Dengue, California Encephalitis, Eastern/Venezuelan/Western Equine Encephalitis, St. Louis Encephalitis, West Nile Fever, and Yellow Fever
  
  
• Mumps Investigation Form ( PDF, 34.3KB)
  
  
• Pertussis Investigation Form ( PDF, 27.3KB)
  
  
• Pertussis Death Investigation Form, CDC ( PDF, 17KB)
  
  
• Plague Case Investigation Form ( PDF, 67.0KB)
  
  
• Q Fever Investigation Form ( PDF, 62.7KB)
  
  

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R-W

• Rickettsial Disease Case Investigation Form  ( PDF, 16KB)
  Used for Ehrlichiosis, Murine Typhus and Rocky Mountain Spotted Fever
  
  
• Rubella (Rash-Fever) Investigation Form ( PDF, 98.4KB)
  
  
• Smallpox Investigation Forms, CDC 
  Evaluating Patients for Smallpox ( PDF, 182KB)
  Post Event Surveillance Form ( PDF, 147KB)
  
  
• Streptococcal Disease, Invasive Reporting Form, May, 2007 ( PDF, 32KB) Revised
  
  
• Taenia Tapeworm Investigation Form ( PDF link, 53.4Kb) New!
  
  
• Tetanus Investigation Form (  PDF, 28.0KB)
  
  
• Tick-borne Relapsing Fever Case Investigation Form (  PDF, 54.4KB)
  
  
• Tuberculosis Forms (including Report of Case and Patient Services)
  
  
• Viral Hepatitis Surveillance Form, CDC (  PDF, 96KB)
  
  
• Tularemia Case Investigation Form (  PDF, 62.1KB)
  
  
• Typhoid Fever Surveillance Report, CDC (  PDF, 86KB)
  
  
• Varicella (Chickenpox)  Reporting Form  (  PDF, 20.6KB)
  
  
• Varicella Death Investigation Form, CDC  (  PDF, 91KB)
  
  
• Vibriosis Surveillance Form, July 2000 revision  (  PDF, 140KB)
  
  
• Viral Gastroenteritis Outbreak Reporting Form (  PDF, 655KB)
  
  
• Yersiniosis Case Investigation Form, 1998 revision (  PDF, 13KB) Revised
  
  
• Waterborne Disease Outbreak Reporting Form ( PDF, 87KB)
  
  

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