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    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


Reporting Forms


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Communicable Disease Reporting Forms

 EPI-2 (66.6KB PDF)

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 (78.3KB PDF)

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.



    Contaminated Sharps Injury Reporting eform; Contaminated Sharps Injury Reporting Form (PDF, 107 KB, July 2000)

    Varicella (Chickenpox)  Reporting Form  (PDF, February 2018)

    Last updated July 27, 2018