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
Zoonotic Diseases Reporting Form
Related Content
Diseases of Public Health Significance
Forms


List of links present in page
  1. https://www.wechu.org/health-care-providers/diseases-public-health-significance-investigation-and-reporting-forms
  2. https://www.wechu.org/bicillin-la-sti-medication-order-form
  3. https://www.wechu.org/chickenpox-varicella-investigation-and-reporting-form
  4. https://www.wechu.org/chlamydia-hcp-reporting-form
  5. https://www.wechu.org/covid-19-investigation-and-reporting-form
  6. https://www.wechu.org/entericfood-borne-diseases-reporting-form
  7. https://www.wechu.org/gonorrhea-and-chlamydia-co-infection-hcp-reporting-form
  8. https://www.wechu.org/gonorrhea-hcp-reporting-form
  9. https://www.wechu.org/hepatitis-investigation-and-reporting-form-hcp
  10. https://www.wechu.org/hepatitis-b-hcp-reporting-form
  11. https://www.wechu.org/hepatitis-c-hcp-reporting-form
  12. https://www.wechu.org/hiv-aids-hcp-reporting-form
  13. https://www.wechu.org/lyme-disease-investigation-and-reporting-form
  14. https://www.wechu.org/health-care-providers/measles-resources
  15. https://www.wechu.org/mpox-monkeypox-reporting-form
  16. https://www.wechu.org/mumps-investigation-and-reporting-form
  17. https://www.wechu.org/pertussis-whooping-cough-investigation-and-reporting-form
  18. https://www.wechu.org/rabies-investigation-form
  19. https://www.wechu.org/rabies-investigation-form-hospital-use-only
  20. https://www.wechu.org/rubella-health-care-provider-investigation-and-reporting-form
  21. https://www.wechu.org/sti-medication-order-form
  22. https://www.wechu.org/syphilis-hcp-reporting-form
  23. https://www.wechu.org/tuberculosis-reporting-form
  24. https://www.wechu.org/vaccine-order-form
  25. https://www.wechu.org/vaccine-return-form
  26. https://www.wechu.org/west-nile-virus-case-investigation-tool
  27. https://www.wechu.org/zoonotic-diseases-reporting-form
  28. https://www.wechu.org/tags/diseases-public-health-significance
  29. https://www.wechu.org/tags/forms