Diseases of Public Health Significance: Investigation and Reporting Forms

The investigation and reporting forms below includes diagnostic testing information, important patient education information regarding prevention of transmission, and mandatory reporting data elements.

Disease-specific investigation and reporting forms are to be completed and faxed to the respective departments at Health Unit as per the forms. Diseases can also be reported by phone at 519-258-2146. For after hours, please call 519-973-4510. The Health Unit is also available for any questions or concerns.

Investigation and Reporting Forms

These forms are provided as a resource for health care providers and is not in an accessible format. If you require this information in an accessible format, please complete the Questions or Comments about this Content form or call 519-258-2146, extension 1420.

Bicillin LA STI Medication Order Form

Chickenpox (Varicella) Investigation and Reporting Form

Chlamydia HCP Reporting Form

COVID-19 Investigation and Reporting Form

Enteric/Food-Borne Diseases Reporting Form

Gonorrhea and Chlamydia Co-Infection HCP Reporting Form

Gonorrhea HCP Reporting Form

Hepatitis A Investigation and Reporting Form HCP

Hepatitis B HCP Reporting Form

Hepatitis C HCP Reporting Form

HIV AIDS HCP Reporting Form

Influenza Vaccine Order Form

Influenza Vaccine Return Form

Lyme Disease Investigation and Reporting Form

Measles Resources for Health Care Providers

MPox (Monkeypox) Reporting Form

Mumps Investigation and Reporting Form

Pertussis (Whooping Cough) Investigation and Reporting Form

Rabies Investigation Form

Rabies Investigation Form - FOR HOSPITAL USE ONLY

Rubella Health Care Provider Investigation and Reporting Form

STI Medication Order Form

Syphilis HCP Reporting Form

Tuberculosis Reporting Form

Vaccine Order Form

Vaccine Return Form

West Nile Virus Case Investigation Tool

Diseases of Public Health Significance: Investigation and Reporting Forms

Investigation and Reporting Forms

Organization

Resources

Privacy Policy

Offices

Site Map