Confidential Morbidity Reports & Reporting Forms
The Communicable Disease Section performs surveillance, investigates cases and outbreaks of communicable diseases including gonorrhea, syphilis, and HIV/AIDS and provides educational activities designed to reduce or control the incidence of infectious disease in the County of San Bernardino.
The Communicable Disease Section relies on our public health partners to report more than 85 communicable diseases as mandated by California law. California Department of Public Health (CDPH) have recently updated Title 17 sections 2500 and 2505 of the California Code of Regulations. Notable changes include the addition of HIV infection to be reported within 7 days, and the removal of Chlamydia trachomatis infections, including lymphogranuloma venereum (LGV) through Confidential Morbidity Reports (CMR). Note that Chlamydia trachomatis infections will continue to be reported by laboratories. For more information on our activities and a list of reportable diseases and conditions, view our Why Report? document.
The Confidential Morbidity Report (CMR) is required to be completed by providers. On the reverse of the CMR is a list of conditions reportable by providers under California Code of Regulations Title 17 Section 2500.
For conditions that are immediately reportable, please contact the Communicable Disease Section (CDS) at 1 (800) 722-4794, Monday-Friday 8 a.m.-5 p.m. After hours, please call (909) 356-3805 and ask for the Public Health Duty Officer.
Confidential Morbidity Reports (CMR)
Respiratory Syncytial Virus (RSV) has been reportable in San Bernardino County since 2002 for cases of all ages as a locally reportable condition. In 2016 year, RSV deaths in persons under 5 became reportable in California. State reporting requirements do not supersede what the local health officer has in place. Providers still need to report all cases, not just deaths for anyone with RSV in San Bernardino County.
CMR Forms
Confidential Morbidity Report Form – 2019 Novel Coronavirus (COVID-19)
Confidential Morbidity Report Form – Lapses of Consciousness to DMV
Confidential Morbidity Report Form – All Conditions Except HIV/AIDS & TB to DMV
Confidential Morbidity Report Form – Conditions in Animal Patients
Confidentiality Morbidity Report Form – Tuberculosis (This form is only to be used to report a positive tuberculin skin test or IGRA)
For conditions that are immediately reportable, please contact the Communicable Disease Section (CDS) at (800) 722-4794, Monday-Friday 8 a.m-5p.m. After hours, please call (800) 472-2376 and ask for the Public Health Duty Officer.
Forms By Disease
STD:
Use the Confidential Morbidity Report Form – All Conditions Except TB to DMV to report STDs.
Learn how to report STDs on the CMR.
HIV:
HIV/AIDS can be reported by providers by completing the HIV/AIDS Adult Confidential Case Report Form. This form can be faxed by provider offices to CDS at (909) 381-8474 or mailed via traceable mail.
HIV/AIDS laboratory reports including positive antibodies, viral loads, and CD4 counts can be mailed by traceable mail to CDS. Faxing by laboratories of HIV laboratory reports to CDS is not permitted.
HIV Form Mailing Address:
Public Health Communicable Disease Section
Attn: Margie Castaneda
451 E. Vanderbilt Way
San Bernardino, CA 92415
TB:
Confidentiality Morbidity Report Form – Tuberculosis (This form is only to be used to report a positive tuberculin skin test or IGRA)
Initial TB Case Report Form
TB Case/Suspect Report Form for Hospitalized Patients
Hepatitis:
Hospital Hepatitis B Report Form
Report a Case of Perinatal Hepatitis B
Other CDS Forms:
Web-based disease reporting is also available for provider offices via the CalREDIE Provider Portal.
Electronic laboratory reporting to the State Office of AIDS is available for interested laboratories.