The following forms are useful for the protection and improvement of the health and safety of the people of Connecticut. Information provided to the Department of Public Health by submitting completed report forms may help prevent disease, injury and disability, and assure the condition in which people can be healthy.
 
 
Department of Education
 
Employment
 
Immunizations Exemption Forms

 

Immunizations Laws and Regulations           
 
Healthcare
 
 
 
Letter of Support

Licensing, Certification and Adverse Events
  • Reportable Event Forms for Long Term Care Facilities 

 

Office of Health Care Access

 
 
 
Reportable Disease Specific Forms
 
State Public Health Laboratory Reporting Forms