MDCH - Communicable Disease Case Definitions and Case History Forms


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Communicable Disease Case Definitions and Case History Forms

MDCH Case Definitions

Histoplasmosis Case Definition

Guidelines for Vaccine-Preventable Disease Investigations

Case History Forms

All Case History Forms (except for HIV/AIDS and TB) are available on the Michigan Disease Surveillance System.

FORM #	DISEASE
DCH-1355	Adult HIV/AIDS (Instructions)
CDC 50.42B	Pediatric HIV/AIDS (Instructions)
DCH-0583	Microbiology/Virology Test Requisition/ MDCH
DCH-0453 (formerly IP-10)	School Building Weekly Report of Communicable Disease to Local Health Department
CDC 72.9A	Tuberculosis Case Report
CDC 72.9C	Tuberculosis Supplemental Form

Please contact your local health departmentor the MDCH Communicable Disease Division at (517) 335-8165 for more information.