Forms needed for reportable diseases:
EPID 200 Reportable Disease Form, revised 5/25
EPID 250 Reportable MDRO Form, revised 5/25
EPID 394 Hepatitis Infection in Pregnant Women or Child, revised 5/25

Health professionals should report communicable diseases to Madison County Health Department and may find the appropriate and required forms below. Upon completion of the report, please fax to (859) 624-0104. Local Health Departments report communicable diseases to the state office which reports to Centers for Disease Control and Prevention. If you have any questions, concerns, or need assistance in reporting, please contact our office at (859) 623-7312, option 8. Outside of our normal business hours, please call the Department of Public Health Epidemiology phone number, (888) 9REPORT or (888) 973-7678.
EPID 200 Reportable Disease Form, revised 5/25
EPID 250 Reportable MDRO Form, revised 5/25
EPID 394 Hepatitis Infection in Pregnant Women or Child, revised 5/25
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