Reporting of Diseases, Emergency Illnesses, Health Conditions, and Laboratory Findings
Disease reporting and surveillance are important functions to monitor the status of the public's health. It allows the Connecticut Department of Public Health (DPH) to determine the epidemiology of diseases, see trends and establish preventive measures. The DPH and an advisory committee consisting of public health officials, clinicians and laboratorians, contribute to the process of updating the list of diseases for surveillance.
In accordance with Sections 19a-36-A3 and 19a-36-A4 of the Public Health Code and Sections 19a-2a and 19a-215 of the Connecticut General Statutes, diseases on the lists of reportable diseases, emergency illnesses and health conditions, and laboratory reportable significant findings are required to be reported to the DPH and the Local Health Director of the town in which the patient resides. These lists are reviewed annually and revised when necessary. The list of reportable diseases and laboratory findings are outlined annually in the Connecticut Epidemiologist newsletter.
- List of Reportable Diseases and Reportable Laboratory Findings
- Health Care Provider Reporting Information and Instructions
- Laboratory Reporting Information and Instructions
- Emergency Illnesses and Health Conditions Surveillance
- Persons Required to Report Reportable Diseases Emergency Illnesses and Health Conditions
- Reportable Infectious Disease Regulations
- Find a Local Health Department
- Disease Reporting Forms
- Katherine A. Kelley State Public Health Laboratory Test Requisition Forms
- Health Insurance Portability and Accountability Act (HIPAA) Notice – concerning the State Public Health Laboratory
- HIPAA Public Health Authority Disclosure Request Checklist
- Nationally Notifiable Diseases and Conditions Case Definitions
Disease Specific Reporting Forms
All forms are found on the DPH Forms page and most of them are fillable PDF forms. The primary disease reporting form for providers is the Reportable Disease Confidential Case Report Form PD-23. Laboratories use electronic laboratory reporting or the Reportable Laboratory Findings Form OL-15C to report diseases related to public health. Disease specific forms are available for the diseases listed below.
Please use the on-line forms as much as possible. Copies of the 3-ply PD-23 and OL-15C can be ordered by calling the Epidemiology and Emerging Infections Program at 860-509-7994.
Please call the programs below directly with any questions concerning their form or reporting of the disease.
- Healthcare-Associated Infections and Antimicrobial Resistance Program (HAI-AR) – 860-509-7995, DPH.HAIAR@ct.gov
- HIV/AIDS – 860-509-7900 Adult HIV/AIDS Case Report Form
- Influenza – 860-509-7994 Hospitalized and Fatal Cases of Influenza Case Report Form
- Injury and Violence Surveillance Unit – 860-509-8251 E-cigarette or Vaping Product Use Associated Lung Injury Case Report Form
- Occupational Diseases – 860-509-7742 Physician's Report Form
- Sexually Transmitted Diseases – 860-509-7920 STD-23 Report Form
- Tuberculosis – 860-509-7722 Report Forms and Laboratory Testing Forms
- Varicella – 860-509-7929 Case Report Form
This page last updated 06/07/2023.