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    Contact Us

    Infectious Disease Control Unit
    Mail Code: 1960
    PO BOX 149347 - Austin, TX 78714-9347
    1100 West 49th Street, Suite T801
    Austin, TX 78714

    Phone: 512 776 7676
    Fax: (512) 776-7616


    E-mail

Reporting Forms

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Communicable Disease Reporting Forms

EPI-2 (PDF 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.

Epi2


EPI-1 (PDF 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.



Epi1

Specialized Reporting Forms

Several conditions as listed below have specialized reporting forms.


Investigation and Surveillance Forms




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Last updated October 09, 2013
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