Notifiable Disease Case Report Form | Department of Public Health

City of Philadelphia

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To report hepatitis B, C, or D disease to the Philadelphia Department of Public Health, complete this disease case report form and fax it to (215) 238-6947. You may also call (215) 685-6748 during business hours.

Name	Description	Released	Format
Notifiable Disease Case Report Form PDF		July 18, 2024