Notifiable Disease Notification Forms
This page provides the forms for health professionals to inform Community and Public Health of a notifiable disease. Any information provided is strictly confidential and subject to the Privacy Act.
Download the appropriate form below to fax to your nearest Community and Public Health Office.
Canterbury Notification Forms
- Canterbury Measles Notification Form [227KB]
- Canterbury Pertussis Notification Form [114KB]
- Canterbury Notice of Notifiable Disease (Non-Identified Basis) Form – including STIs [KB]
- Canterbury Notifiable Diseases Notification Form for general practice [89KB]
- Canterbury Notifiable Diseases Notification Form for hospitals [162KB]
South Canterbury Notification Forms
- South Canterbury Measles Notification Form [112KB]
- South Canterbury Notifiable Diseases Notification Form [39KB] – for general practice and hospitals
West Coast Notification Forms
- West Coast Measles Notification Form [227KB]
- West Coast Pertussis Notification Form [115KB]
- West Coast Notice of Notifiable Disease (Non-Identified Basis) Form – including STIs [KB]
- West Coast Notifiable Diseases Notification Form for general practice [89KB]
- West Coast Notifiable Diseases Notification Form for hospitals [KB]
Outbreak Notification and Case Log Forms
- Early Childhood Centre Outbreak Notification Form [61KB]
- School Outbreak Notification Form [63KB]
- Hospital Outbreak Notification Form [49KB]
- Rest Home Outbreak Notification Form [49KB]
- Outbreak Case Log Form [47KB]
Contact the Communicable Disease staff at your local office for further information:
CANTERBURY
Ph: +64 3 364 1777
Fax: +64 3 379 6484
SOUTH CANTERBURY
Ph: +64 3 687 2600
Fax: +64 3 688 6091
WEST COAST
Ph: +64 3 768 1160
Fax: +64 3 768 1169
- Find out about Community and Public Health’s response to disease notifications.
- Find out about Community and Public Health’s response to gastroenteritis outbreaks in a hospital, education or elderly care setting.
Latest public health updates
- Measles cases continue
- Legionnaire’s disease numbers climb in spring
- Resources for parents from All Right?
- Immunity against pertussis wanes over time
Latest public health alerts
- Update from Ministry of Health: 2019 Novel Coronavirus added to Notifiable Diseases - 29th January 2020
- Ministry of Health Advisory: Novel Coronavirus 2019 – 27th January 2020
- Measles Alert – 9th January 2020
Featured links
- Information on the novel Coronavirus originating in Wuhan China (Ministry of Health)
- Cantabrians urged to protect themselves against Legionnaires’ disease
- Information on current measles outbreak (Ministry of Health)
Helpful links
Page last updated: 20/09/2019