Each Report Must Include
- Full name, address, date of birth, age, sex, race, ethnicity, and occupation of person affected
- Infectious agent or other reportable laboratory findings
- Date of collection
- Method of identification
- Full name, address, and telephone number of the provider
- Full name, address, and telephone number of the person reporting and date of report
Distribution of Completed Report Forms
- Mailed reports must be in envelopes marked "Confidential"
- One copy must be mailed or faxed to the DPH
- One copy must be mailed to the Director of Health of the patient's town of residence
- One copy must be kept for the patient's medical record
DPH Contact Information
Completed OL-15C forms should be mailed or faxed to the DPH at:
Connecticut Department of Public Health
410 Capitol Avenue, MS#11FDS
P.O. Box 340308
Hartford, CT 06134-0308
Laboratory results may be called into the DPH at 860-509-7994.
For after hours, weekends and holidays call the DPH at 860-509-8000.
When a laboratory identifies or presumptively identifies a significant isolate or other finding that requires confirmation by the State Public Health Laboratory as required in the annual list, the director of the primary laboratory must submit the isolate or specimen from which the finding was made to:
(Connecticut General Statute - Section 19a-36-A2)
An annual list of the laboratory reportable significant findings will be prepared and distributed to directors of clinical laboratories licensed, registered, or approved by the Department of Public Health. Please refer to the current list when reporting findings since the list will be reviewed annually and revised when necessary.
Persons Required to Report Laboratory Reportable Significant Findings
(Public Health Code - Section 19a-36-A4)
The director of a laboratory that receives a primary specimen or sample, which yields a reportable laboratory finding, shall be responsible for reporting such findings within 48 hours to the local director of health of the town in which the affected person normally resides. In the absence of such information, the reports should go to the town from which the specimen originated and to the Department of Public Health.
This page last updated 1/18/2021.