Disease Reporting Forms

You are here: DOH Home » Notifiable Conditions

Search | Employees

Site Directory:

Notifiable Conditions

Other links concerning Notifiable Conditions

Posters

Notifiable Conditions & the Health Care Provider (PDF, 645KB)
Notifiable Conditions & the Hospital (PDF, 529KB)
Notifiable Conditions & the Laboratory (PDF, 314KB)
Notifiable Conditions & the Local Health Jurisdiction (PDF, 117KB)
Notifiable Conditions & the Veterinarian (PDF, 129KB)

Associated Programs

Communicable Disease Epidemiology

Notifiable Condition Reporting Forms and Guidelines
for Local Health Departments

News and Notices

H5N1 Testing for Clinicians
(.pdf file, 323Kb)

2007 Communicable Disease Report
Our yearly report about communicable disease in Washington state is available in PDF format (764KB)

Download the communicable disease report

Standardized notifiable condition reporting forms and guidelines for local public health departments are now available for the following notifiable conditions.

Additional forms for foodborne illnesses can be found on the Disease of Foodborne Origin page. For additional information on how to report a notifiable condition, please see Report a Notifiable Condition.

Condition	Reporting Forms (revision date)			Guidelines (revision date)
Animals Bites	Word	PDF	01/2008	PDF	06/2008
Anthrax	Word	PDF	01/2008	PDF	06/2008
Arboviral Disease	Word	PDF	01/2008	PDF	07/2008
Botulism, Foodborne	Word	PDF	01/2008	PDF	08/2008
Botulism, Infant	Word	PDF	01/2008	PDF	08/2008
Botulism, Wound	Word	PDF	01/2008	PDF	08/2008
Brucellosis	Word	PDF	01/2008	PDF	06/2009
Campylobacterosis	Word	PDF	01/2008	PDF	09/2007
Chancroid				PDF	06/2008
Chlamydia				PDF	06/2008
Cholera	Word	PDF	01/2008	PDF	01/2008
Creutzfeldt-Jakob disease (CJD)	(see Prion Diseases, Human)
Cryptococcal Disease	Word	PDF	02/2008	(none)
Cryptosporidiosis	Word	PDF	01/2008	PDF	12/2008
Cyclosporiasis	Word	PDF	01/2008	PDF	03/2008
Diphtheria	Word	PDF	01/2008	PDF	12/2008
Enterohemorrhagic E. coli	Word	PDF	01/2008	PDF	10/2007
Foodborne Illness		PDF - Pt.1 PDF - Pt.2	10/2007	HTM	10/2002
Giardiasis	Word	PDF	01/2008	PDF	12/2008
Gonorrhea				PDF	06/2008
Granuloma				PDF	06/2008
Gunshot	Word	PDF	03/2006	HTM	08/2007
Haemophilus Influenzae	Word	PDF	01/2008	PDF	12/2008
Hantavirus Pulmonary Syndrome	Word	PDF	01/2008	PDF	06/2009
Hemolytic Uremic Syndrome (HUS)	Word	PDF	01/2008	PDF	10/2007
Hepatitis A, acute	Word	PDF	08/2008	PDF	01/2008
Hepatitis B, acute	Word	PDF	08/2008	PDF	01/2009
Hepatitis B, perinatal	Word	PDF	02/2008	(refer to Hepatitis B)
Hepatitis B and C, chronic	Word	PDF	02/2008	(refer to Hepatitis B or C)
Hepatitis C, acute	Word	PDF	08/2008	PDF	12/2008
Hepatitis, Unspecified	Word	PDF	08/2008	PDF	05/2008
Herpes, Genital				PDF	06/2008
HIV/AIDS	Word	PDF	08/2007	PDF	06/2008
Influenza	Word	PDF	06/2009
Lead, Child Blood	Word	PDF	09/2008
Legionellosis	Word	PDF	01/2008	PDF	07/2008
Leptospirosis	Word	PDF	01/2008	PDF	07/2008
Listeriosis	Word	PDF	01/2008	PDF	10/2007
Lyme Disease	Word	PDF	01/2008	PDF	02/2008
Lymphogranuloma				PDF	06/2008
Malaria	Word	PDF	01/2008	PDF	04/2008
Measles	Word	PDF	01/2009	PDF	12/2008
Meningococcal Disease	Word	PDF	01/2008	PDF	05/2008
Mumps	Word	PDF	01/2008	PDF	11/2008
Neurologic Syndrome	Word	PDF	01/2008	(none)
Other Conditions	Word	PDF	01/2008	(none)
Pertussis	Word	PDF	04/2008	PDF	03/2009
Plague	Word	PDF	01/2008	PDF	06/2009
Polio	Word	PDF	01/2008	PDF	07/2008
Prion Diseases, Human (CJD)	Word	PDF	01/2008	PDF	11/2007
Psittacosis	Word	PDF	01/2008	PDF	05/2008
PSP (Paralytic Shellfish Poisoning)	Word	PDF	01/2008	PDF	01/2008
Q Fever	Word	PDF	01/2009	PDF	12/2008
Rabies, Human	Word	PDF	01/2008	PDF	07/2008
Rabies Post-Exposure Prophylaxi (PEP)	Word	PDF	01/2008	PDF	06/2008
Rare diseases of public health significance	Word	PDF	01/2008	PDF	03/2008
Rash illness	Word	PDF	01/2008	(none)
Relapsing Fever	Word	PDF	01/2008	PDF	12/2007
Rubella	Word	PDF	01/2009	PDF	01/2009
Salmonellosis	Word	PDF	01/2008	PDF	08/2008
Shigellosis	Word	PDF	01/2008	PDF	10/2007
Syphilis				PDF	06/2008
Tetanus	Word	PDF	01/2008	PDF	06/2008
Trichinosis	Word	PDF	01/2009	PDF	02/2008
Tuberculosis (TB)		PDF	09/2008	PDF	03/2009
Tularemia	Word	PDF	01/2008	PDF	12/2007
Typhoid fever	Word	PDF	08/2008	PDF	08/2008
Typhus	Word	PDF	01/2008	PDF	04/2008
Unexplained Critical Illness or Death	Word	PDF	01/2008	PDF	06/2008
Vibriosis	Word	PDF	01/2008	PDF	09/2007
West Nile Virus Disease	Word	PDF	01/2008	PDF	06/2009
West Nile Virus, CDC enhanced surveillance	Word	PDF	07/2008
Yellow Fever	Word	PDF	01/2008	PDF	07/2008
Yersiniosis	Word	PDF	01/2008	PDF	02/2008

DOH Home | Access Washington | Privacy Notice | Disclaimer/Copyright Information

Communicable Disease Epidemiology
Office of Epidemiology
Washington State Department of Health
MS: K17-9, 1610 NE 150th St.
Shoreline, WA 98155-9701

Consultation and technical assistance are available to local health jurisdictions in Washington State:
Phone (206) 418-5500
FAX (206) 418-5515
24-hour contact (inside Washington State only) 1-877-539-4344

Washington residents can contact their local health jurisdictions for assistance

Send inquires about DOH and its programs to the Health Consumer Assistance Office
Comments or questions regarding this Fact Sheet? Send us an e-mail.