Communicable Disease Reporting Forms EPI-2 ( PDF, 66.6KB) Initial Provider Disease Report This reporting form is to be used for most conditions as it is designed to track the collection of the information necessary to classify a case as confirmed, probable or dropped before it is entered into the notifiable conditions' database. EPI-1 ( PDF, 78.3KB) Confidential Disease Report This reporting form collects information for multiple cases on one piece of paper when that is appropriate. It is not appropriate for disease case reports from multiple reporters to be placed on the same sheet. Specialized Reporting Forms Several conditions as listed below have specialized reporting forms. Contaminated Sharps Injury Reporting Forms Varicella (Chickenpox) Reporting Form Investigation and Surveillance Forms  Return to the Top of the Page

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Last Updated: Monday, November 12, 2007

Texas Department of State Health Services - Infectious Disease Control Unit
1100 West 49th Street, Suite T801, Mail Code: 1960 PO BOX 149347 - Austin, TX 78714-9347
(512) 458-7676 - Fax: (512) 458-7616 -

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