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

South Canterbury Notification Forms

West Coast Notification Forms

Outbreak Notification and Case Log Forms

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

Page last updated: 20/09/2019

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