Conditions Reportable to Public Health in Alaska: Report Forms

To report Public Health Emergencies call 907-269-8000 or after hours 800-478-0084

Report Forms

• Birth Defects
• Blood Lead Level Testing
• Cancer
• Firearm Injuries
• Healthcare-Associated Infections
• Infectious Diseases
• Influenza and SARS-CoV Outbreak Report Form For Skilled Nursing Facilities
  
• Influenza-Associated Mortality
• Immunization Administration Data
• Newborn Hearing Loss
• Occupational Disease and Injuries
• Sexually Transmitted Diseases (STD)/HIV
• Toxic or Hazardous Exposures

Section of Epidemiology Assistance

For most conditions, the basic information requested on the applicable report form is all that is necessary for reporting. For some situations, an epidemiologist will contact the reporting health care provider to discuss the case and obtain additional information.

Further assistance may be obtained by calling the Section of Epidemiology at 907-269-8000. Available assistance includes:

• Epidemiologic investigation
• Infectious disease consultation
• Consultation on diseases related to occupational or environmental exposure to a toxic or hazardous substance
• Partner notification for patients with a sexually transmitted disease, including AIDS or human immunodeficiency virus (HIV) infection, chlamydia, gonorrhea and syphilis
• Information on, and assistance in, obtaining diagnostic laboratory tests
• Information on, and assistance with, electronic methods of reporting