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Forms & Documents > For Healthcare Providers > Disease Reporting Forms

Name Description
COVID-19-Confidential-Morbidity-Report

CMR form to report COVID-19

CMR-Form-Cocci

CMR form to report Valley Fever (Coccidioidomycosis)

CMR-Form-A

CMR Form A

CMR-Form-B

CMR Form B

Contagious-Disease-Reporting-Form

Contagious Disease Reporting Form

Pesticide-Related-Illness-Form

Use this form to report a known or suspected pesticide-related illness.

SLO-PHD-Reportable-Diseases_February-2022

List of CDPH Reportable Diseases February 2022

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