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  • Va Health Department Confidentiality Morbidity Report Form

Get Va Health Department Confidentiality Morbidity Report Form

MAIL THE TOP TWO COPIES TO YOUR LOCAL HEALTH DEPARTMENT VIRGINIA DEPARTMENT OF HEALTH Confidential Morbidity Report Patient's Name (Last, First, Middle Initial): SSN: - - Home #: ( Patient's Address.

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Share sensitive information only on official, secure websites....Contact Details. Organization Type:State Health DepartmentsCovered States and Territories:VirginiaInformation:Local: (804) 864-7001 Fax: (804) 864-7022 Web Site: http://.vdh.state.va.us Hours: 8:15am to 5pm EST2 more rows

The Confidential Morbidity Report (CMR) is the form used to report most diseases and other conditions to the Public Health Department. Other CMR forms are available to report suspected cases of tuberculosis and conditions reportable to the California Department of Motor Vehicles.

Immediate reporting is required for potential bioterrorism-related diseases, such as anthrax and botulism; the severe or highly communicable diseases, such as cholera and cryptosporidiosis, must be reported within 24 hours of diagnosis; other diseases and conditions, such as mumps and chlamydia, have a seven-day ...

Division of Disease Prevention Reportable Conditions Chlamydia. Gonorrhea. Syphilis. Chancroid.

In addition to HIV/AIDS, seven STDs are reportable: Chancroid, Chlamydia, Gonorrhea, Granuloma inguinale, Neonatal Herpes (infants aged ≤ 60 days), Lymphogranuloma venereum, Syphilis (all stages, including congenital). There are two options for reporting: Electronically via Reporting Central.

Diseases reportable to the CDC include: Anthrax. Arboviral diseases (diseases caused by viruses spread by mosquitoes, sandflies, ticks, etc.) such as West Nile virus, eastern and western equine encephalitis. Babesiosis. Botulism. Brucellosis. Campylobacteriosis. Chancroid. Chickenpox.

For the fastest response, please send an email to our IT Customer Support Team at – oim_webappshelp@vdh.virginia.gov – if you need assistance, additional information or to submit forms.

Chlamydia is a 'routine' notifiable condition and must be notified by pathology services in writing within 5 days of diagnosis. Medical practitioners are not required to notify cases of Chlamydia.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232