List of Notifiable Conditions

 
Condition Reporting Forms Guidelines for Public Health Investigations
(Revision Date)
Case Definition
Acute Flaccid Myelitis (AFM) CDC Case Form, PDF 10/2018, PDF PDF
Anaplasmosis 11/2019, PDF 01/2020, PDF PDF
Animal Bites See Rabies, Suspected Human Exposure
Anthrax 11/2019, PDF 01/2022, PDF PDF
Arboviral Disease (includes Zika virus) 11/2019, PDF 03/2019, PDF PDF
Asthma, Occupational Report cases of occupational asthma to Labor and Industries
Babesiosis 11/2019, PDF 01/2020, PDF PDF
Birth Defects     PDF
Botulism Botulism, Foodborne
11/2019, PDF


Botulism, Infant
11/2019, PDF


Botulism, Wound
11/2019, PDF


Botulism, Other
11/2019, PDF
05/2021, PDF PDF
Brucellosis 11/2019, PDF 12/2019, PDF PDF
Burkholderia Infection (Melioidosis or Glanders) 11/2019, PDF 03/2018, PDF PDF
Campylobacteriosis 11/2019, PDF 10/2019, PDF PDF
Candida auris   06/2021, PDF Docx
Carbapenem-resistant Enterobacteriaceae (CRE) and other Carbapenem-Resistant Organisms 11/2019, PDF 03/2022, PDF PDF
Chagas Disease See Rare Diseases of Public Health Significance
Chancroid 01/2011, PDF 03/2020, PDF PDF
Chlamydia 01/2011, PDF 03/2020, PDF PDF
Cholera 11/2019, PDF

CDC Form, PDF
05/2018, PDF PDF
Coccidioidomycosis 11/2019, PDF 12/2017, PDF PDF
Coronavirus-19 (COVID-19, Other Novel Coronavirus)

COVID-19 Extended Form
10/2021, PDF


COVID-19 Outbreak Reporting
10/2021, PDF


POC Reporting Form (PDF)

CDC MIS-C Reporting Form (PDF) and CDC MIS-C Reporting Handout (PDF)

03/2022, PDF

Vaccine Breakthrough 09/2021, PDF

Case and Contact Investigation
05/2021, PDF


Non-Healthcare Workplaces
12/2020, PDF

PDF
Creutzfeldt-Jakob disease (CJD) See Prion Diseases, Human
Cryptococcus gattii 11/2019, PDF 12/2019, PDF PDF
Cryptosporidiosis 11/2019, PDF 12/2016, PDF PDF
Cyclosporiasis

11/2019, PDF

CDC Cyclosporiasis Report Form, (PDF) and Instructions (DOCX)

02/2017, PDF PDF
Diphtheria 11/2019, PDF 04/2016, PDF PDF
Ebola Virus Disease 11/2019, PDF 05/2021, PDF PDF
Ehrlichiosis 11/2019, PDF 01/2020, PDF PDF
Enterohemorrhagic E. coli See Shiga toxin-producing E. coli ("STEC")
Enterovirus D68 (EV-D68) 09/2014, PDF

CDC Case Form, PDF
09/2014, PDF PDF
Foodborne Disease Outbreaks FB/Enteric ZD Outbreak Form, 03/2021, PDF

Case Investigation Worksheet 04/2012, PDF

Environmental Assessment Reporting Form Set 1 (Word)

Environmental Assessment Reporting Form Set 2 (Word)
06/2019, PDF PDF
Giardiasis 11/2019, PDF 07/2018, PDF PDF
Glanders (Burkholderia Infection) 11/2019, PDF 03/2018, PDF PDF
Gonorrhea 01/2011, PDF 03/2020, PDF PDF
Granuloma inguinale 01/2011, PDF 03/2020, PDF PDF
Gunshot 01/2020, PDF    
Haemophilus Influenzae 11/2019, PDF 01/2015, PDF PDF
Hantavirus Pulmonary Syndrome 11/2019, PDF 12/2019, PDF PDF
Hemolytic Uremic Syndrome (HUS) See Shiga toxin-producing E. coli ("STEC")
Hepatitis A, acute 11/2019, PDF 02/2022, PDF PDF
Hepatitis B Acute
01/2020, PDF


Perinatal
05/2018, PDF


Chronic, Surveillance
05/2018, PDF

(short)

Chronic, Interview
05/2018, PDF

(long)
04/2018, PDF PDF
Hepatitis C Acute
04/2018, PDF


Chronic
04/2018, PDF

(lab surveillance only)

Chronic
04/2018, PDF

(short)

Chronic
04/2018, PDF

(long)

Perinatal
04/2018, PDF
03/2020, PDF PDF
Hepatitis D CDC Case Report Form, PDF 08/2021, PDF PDF
Hepatitis E 11/2019, PDF 02/2022, PDF PDF
Herpes, Genital 01/2011, PDF 03/2020, PDF PDF
Highly Antibiotic-Resistant Organisms (HARO) 01/2020, PDF See CRE or Candida auris See CRE or Candida auris
HIV/AIDS 12/2010, PDF (none) PDF

Hypersensitivity Pneumonitis, Occupational

Report cases of known or suspected occupational hypersensitivity pneumonitis to Labor and Industries
Influenza Novel
11/2019, PDF


Associated Death
11/2019, PDF
Novel
04/2018, PDF


Associated Death
03/2020, PDF
Novel, PDF


Death, PDF
Lead, Child Blood Blood Lead Test Reporting 01/2018, PDF  
Legionellosis Use for 2020 Cases
01/2020, PDF

Use for 2019 Cases
01/2020, PDF
12/2019, PDF PDF
Leptospirosis 11/2019, PDF 12/2019, PDF PDF
Listeriosis 11/2019, PDF

CDC Listeria Case Form, PDF

CDC Listeria Initiative Spanish Version, PDF
07/2019, PDF PDF
Lyme Disease 11/2019, PDF 12/2021, PDF PDF
Lymphogranuloma 01/2011, PDF 03/2020, PDF PDF
Malaria 11/2019, PDF 04/2021, PDF PDF
Measles 11/2019, PDF 05/2022, PDF PDF
Melioidosis (Burkholderia Infection) 11/2019, PDF 03/2018, PDF PDF
Meningococcal Disease 11/2019, PDF 01/2015, PDF PDF
Middle East Respiratory Syndrome Coronavirus (MERS-CoV) 11/2019, PDF 11/2021, PDF PDF
Monkeypox See Rare Diseases of Public Health Significance
Mumps 11/2019, PDF 05/2022, PDF PDF
Norovirus Outbreak Response Toolkit (none) (none)  
Outbreak Reporting

(See also:
Foodborne Outbreaks,
Norovirus Outbreak Response Toolkit, and
Waterborne Outbreaks)
COVID-19, 10/2020, PDF

COVID-19 Short Form
10/2020, PDF


Influenza-like illness, 10/2020, PDF

Varicella, 01/2016, PDF

Vaccine Preventable Other Than Varicella, 12/2018, PDF

Zoonotic Disease, Non-Enteric, 03/2014, PDF

Zoonotic Disease, Enteric, 06/2017, PDF

Other, 03/2014, PDF
Outbreak Reporting, 12/2018, PDF

See also:
Foodborne Outbreaks, 06/2019, PDF

Waterborne Outbreaks, 06/2017, PDF
 
Pertussis 11/2019, PDF 03/2022, PDF PDF
Pesticide Poisoning Report Illness 08/2010, PDF PDF
Plague 11/2019, PDF 12/2019, PDF PDF
Polio 11/2019, PDF 10/2018, PDF PDF
Prion Diseases, Human (CJD) 11/2019, PDF 05/2019, PDF PDF
Psittacosis 11/2019, PDF 01/2018, PDF PDF
PSP (Paralytic Shellfish Poisoning) See Shellfish Poisoning, Paralytic, Domoic Acid, or Diarrhetic
Q Fever 11/2019, PDF 12/2019, PDF PDF
Rabies, Human 11/2019, PDF 12/2018, PDF PDF
Rabies, Suspected Human Exposure 11/2019, PDF 12/2019, PDF PDF
Rare diseases of public health significance 11/2019, PDF 05/2022, PDF PDF
Relapsing Fever 11/2019, PDF 03/2017, PDF PDF
Rubella 11/2019, PDF 05/2022, PDF PDF
Salmonellosis 01/2020, PDF 01/2017, PDF PDF
Shellfish Poisoning, Paralytic, Domoic Acid, or Diarrhetic 11/2019, PDF 03/2018, PDF PDF
Shiga toxin-producing E. coli ("STEC") 01/2020, PDF 04/2018, PDF PDF
Shigellosis 11/2019, PDF 01/2017, PDF PDF

Silicosis

Report cases of silicosis to Labor and Industries
Spotted Fever Rickettsioses 11/2019, PDF 01/2020, PDF PDF
Syphilis 01/2011, PDF 03/2020, PDF PDF
Tetanus 11/2019, PDF 03/2016, PDF PDF
Tick Paralysis 11/2019, PDF 01/2020, PDF PDF
Tickborne Disease, Excluding Lyme Disease and Relapsing Fever 11/2019, PDF 01/2020, PDF PDF
Trichinosis 01/2020, PDF 02/2017, PDF PDF
Tuberculosis (TB) 09/2008, PDF 05/2017, PDF PDF
Tularemia 11/2019, PDF 12/2019, PDF PDF
Typhoid fever 01/2020, PDF

CDC Typhoid and Paratyphoid Fever Case Form, PDF
05/2018, PDF PDF
Typhus See Rare Diseases of Public Health Significance
Unexplained Critical Illness or Death 11/2019, PDF 12/2021, PDF PDF
Vaccinia Transmission 11/2019, PDF 12/2020, PDF PDF
Vaping Associated Lung Injury 11/2019, PDF

Patient Interview 11/2019, PDF
10/2019, Word

Worksheet 11/2019, PDF
Primary, PDF

CDC: Out-of-Hospital Deaths, PDF
Varicella Death 11/2019, PDF 12/2021, PDF PDF
Vibriosis 11/2019, PDF

CDC Form, PDF
04/2018, PDF PDF
Waterborne Disease Outbreaks 06/2017, PDF

Investigation Worksheet, 06/2012 (PDF)
06/2017, PDF PDF
West Nile Virus Disease 11/2019, PDF 12/2019, PDF PDF
Yellow Fever 11/2019, PDF 12/2018, PDF PDF
Yersiniosis 11/2019, PDF 12/2019, PDF PDF