What to Report

For Health Care Providers

• List of Conditions to Report and Instructions for Reporting (Rev. August 1, 2016)
  
• Provider Reporting Form 1140/ Maryland Confidential Morbidity Report (Rev. 2017)
• Local Health Department Phone Numbers

For Laboratory Directors

• Infectious Disease Reporting other than HIV/CD4
  
  • List of Conditions to Report and Instructions for Reporting (Rev. August 1, 2016)
  • Lab Reporting Form 1281 (PDF)
  • Lab Reporting Form 1281 (Word)

• HIV/CD4 Reporting
  
  • Instructions for Reporting
  • Lab Reporting Form 4492

• Carbapenem-resistant Organism (CRE/CRAB) Reporting
  
  • Instructions for Reporting CRE (Rev. Jan 2015)
  • Instructions for Reporting CRAB
  • CRO Case Report Form
  • CRO Isolate Submission Form
  • ​CRE FAQ

• Clostridium difficile​ Reporting
  • Instructions for Reporting Clostridium difficile (May 2017)

Reference Materials - HIV/AIDS Reporting

• Surveillance Contact List
• Data Security and Confidentiality Guidance for Infectious Disease Programs
• Reporting Process​
• HIV Consent Form in English & Spanish
• Perinatal Authorization Form
• Notice to Health Officers
• Notice to Physicians
• Notice to Institutions
• Notice to Laboratory Directors