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Communicable Disease Reporting Forms

As a result of the initial implementation of the North Carolina Electronic Disease Surveillance System (NCEDSS), the North Carolina Division of Public Health will begin accepting revised reporting forms for surveillance and investigation of diseases and conditions reportable under NCGS 130A-134 and NCNC 41A.0101.

  • Click here for Part 1 of the new Communicable Disease Report which replaces the current Communicable Disease Report Card (DHF1S 2124).
    Communicable Disease report fax to 910-321-7130
    STD report fax to 910-433-3898
  • Click here for Part 2 of the Communicable Disease Report, the disease specific forms, which replace the existing surveillance forms.
    Communicable Disease report fax to 910-321-7130
    STD report fax to 910-433-3898 

Contact Us

1235 Ramsey Street
Fayetteville, NC 28301

Phone:  910-433-3600
Fax: 910-433-3659

Interim Director: Rodney Jenkins

Communicable Disease

Phone:  910-433-3638
Hours:  Monday - Friday
  8 a.m.-5 p.m.