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Infectious Disease Reporting Forms

NH RSA 141-C and He-P300 mandate reporting of all the listed infectious diseases on the Reportable Diseases List Adobe Acrobat Reader Symbol by all physicians, laboratories, and health care providers. The Bureau of Infectious Disease Control requests prompt reporting of suspect and confirmed cases as well as any suspected outbreaks of illness. All reports are handled under strict confidentiality standards.

How to Report an Infectious Disease

Download and complete the appropriate form for the disease you are reporting and then contact the Bureau of Infectious Disease Control:

  • Telephone: (603) 271-4496
  • Toll Free (NH only): 1-800-852-3345, extension 4496
  • Hotline: 1-888-836-4971
  • After Hours Response: 1-800-271-5300
  • Toll Free After Hours: 1-800-852-3345 x5300
  • Fax: 603-271-0545 Do not fax HIV Reports!
  • Mail:
    • NH Department of Health and Human Services
      Division of Public Health Services
      Bureau of Infectious Disease Control
      29 Hazen Drive
      Concord, NH 03301-6504

Disease Reporting Forms

Adobe Acrobat Reader Symbol Adobe Acrobat Reader format. You can download a free reader from Adobe.

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New Hampshire Department of Health and Human Services
129 Pleasant Street | Concord, NH | 03301-3852

copyright 2010. State of New Hampshire