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Communicable Disease Reporting Forms

As a result of the initial implementation of the North Carolina Electronic Disease Surveillance System (NCEDSS), the North Carolina Division of Public Health will begin accepting revised reporting forms for surveillance and investigation of diseases and conditions reportable under NCGS 130A-134 and NCNC 41A.0101.

  • Click here for Part 1 of the new Communicable Disease Report which replaces the current Communicable Disease Report Card (DHF1S 2124).
    Communicable Disease report fax to 910-321-7130
    STD report fax to 910-433-3898
  • Click here for Part 2 of the Communicable Disease Report, the disease specific forms, which replace the existing surveillance forms.
    Communicable Disease report fax to 910-321-7130
    STD report fax to 910-433-3898 

 

  • Contact Us

    Phone: 910-433-3820
    Department of Public Health:

    1235 Ramsey Street
    Fayetteville, NC 28301

    DPH Accreditation Seal 2023-2027 150  
    Fax: 910-321-7132
    TTY Phone: 910-223-9386
    Email:
    email_envelope
    Supervisor: Alba Natale

    Contact Us

    Phone: 910-433-3820
    Fax: 910-321-7132
    TTY Phone: 910-223-9386
    Email:
    email_envelope
    Supervisor: Alba Natale
    Department of Public Health:

    1235 Ramsey Street
    Fayetteville, NC 28301

    DPH Accreditation Seal 2023-2027 150