Reporting Forms

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Published on January 04, 2017. Last modified on December 11, 2025

Provider and laboratory reporting of diseases and conditions mandated by Title 17 of the California Code of Regulations is important to help protect the health of communities.  Laboratories should report electronically through the California Department of Public Health's (CDPH) Electronic Laboratory Reporting (ELR) system.  Providers should ideally report electronically or through CDPH's Provider Portal.  In lieu of utilizing these systems, providers may fax Confidential Morbidity Reports to the fax number listed on the forms below.

For questions about provider and/or laboratory reporting, please call the Division of Communicable Disease Prevention & Control at 831-755-4521.

Use the following form for all conditions except: HIV/AIDS, Tuberculosis, and conditions reportable to DMV:

Confidential Morbidity Report (CMR) Form – Communicable Diseases (non-TB)

Report to:

Monterey County Health Department
Communicable Disease Unit
1270 Natividad Road, Salinas, CA  93906
Confidential Fax: 831-775-8076
Phone: 831-755-4521
Outside Normal Business Hours: 831-755-5100  and ask for the Hazardous Materials Team

Use the following form for TB:

Confidential Morbidity Report (CMR) Form – Tuberculosis

Report to:

Monterey County Health Department
Tuberculosis Control Unit
1270 Natividad Rd., Salinas CA   93906
Confidential Fax: 831-775-8076
Phone: 831-755-4521
Outside Normal Business Hours: 831-755-5100 and ask for the Hazardous Materials Team

Use the following form for COVID-19:

Confidential Morbidity Report (CMR) Form - COVID-19

Report to:

County of Monterey Health Department
Communicable Disease Prevention & Control
1270 Natividad Rd.
Salinas, CA  93906
Phone: 831-755-4521
Secure Fax: 831-775-8076

Use the following form for HIV/AIDS in individuals 13 years of age and older:

Adult Case Report Form (ACRF) – HIV/AIDS in individual 13 years of age and older

Use the following form for Lapse of Consciousness:

Confidential Morbidity Report (CMR) Form – Lapses of Consciousness (DMV-related conditions)

Use the following form for Animal Bites:

Animal Bite Report Form

Report to:

Hitchcock Road Animal Services, 160 Hitchcock Rd., Salinas, CA  93908

Fax: 831-769-8865

Use the following form for Confidential Morbidity Report (CMR) Form – Animal Patients:

Animal Patients

Report to:

Monterey County Health Department
Communicable Disease Unit
1270 Natividad Road, Salinas, CA  93906
Confidential Fax: 831-775-8076
Phone: 831-755-4521
Outside Normal Business Hours: 831-755-5100  and ask for the Hazardous Materials Team

Use the following form for Pesticide Illness Reports:

Pesticide Illness Report Form

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