Get Report Of Notifiable Disease (ndr)*

This guide provides a clear and comprehensive overview of how to fill out the Report Of Notifiable Disease (NDR) online. Each section and field is detailed to support users throughout the process.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In Section 1, provide your personal identifiers. Fill in your Identifier Code, Public Health Number (PHN) or other identifier, along with your birth date and gender. Select your ethnic group from the options available and include any necessary details about your address and residency status.
3. For Section 2, detail the disease descriptors and laboratory information. Enter the disease name and ICD code, along with the clinical onset date and diagnosis date. Indicate whether the case was fatal, hospitalized, or required an autopsy. You will also specify the type of specimen and the diagnosis status.
4. Proceed to Section 3 to provide immigration and travel history. Note whether the illness was likely acquired outside of Alberta, the relevant dates, and any associated travel information.
5. Fill out Section 4 for enterics. Indicate where and how the disease was likely acquired by selecting the appropriate options.
6. In Section 5, select all applicable manifestations, medical risk factors, and social/behavioral conditions related to the disease.
7. Complete Section 6 regarding disease-specific immunization and any pre or post-exposure prophylaxis history. Provide vaccine details and immunization status.
8. Finally, in Section 7, report additional information including the submitter's details, telephone number, and date reported to Alberta Health. Add any comments necessary.
9. Review all sections for accuracy, then save changes. You may choose to download, print, or share the completed form as required.

Complete your documents online today and ensure accurate reporting of notifiable diseases.