Notification Forms

Notification Form 

This is the form to be used by a medical practitioner when notifying an infectious disease to a Medical Officer of Health.

Laboratory Reporting Template 

Recommended reporting template for the Clinical Director of a diagnostic laboratory, when notifying infectious diseases to a Medical Officer of Health.

Weekly MOH to HPSC 

Recommended reporting template for the Medical Officer of Health when reporting infectious disease notifications to HPSC.

Enhanced Surveillance Forms

These surveillance forms are for use by Health Care Professionals and relate to specific infectious diseases where enhanced surveillance is undertaken.

• Acute Flaccid Paralysis (AFP)
• Avian Influenza
• Bacterial Meningitis / Meningococcal Disease
• EARSS Enhanced Bacteraemia Surveillance
• Haemophilus influenzae
• Hepatitis B
• Hepatitis C
• Influenza
• Influenza A(H1N1)
• Legionellosis
• Leptospirosis
• Listeriosis
• Malaria
• Measles
• Mumps 
• Outbreaks
• Pneumococcal Disease (invasive)
• Streptococcus group A (invasive)
• Syphilis
• Tetanus
• Tuberculosis
• Verotoxigenic Escherichia coli (VTEC)