Notifiable Disease Notification Forms

The preferred method for notification for notifiable diseases to Te Mana Ora | Community and Public Health is via Cortex or ERMS.

This page provides the notifiable disease forms that can be used by health professionals if Cortex or ERMS are unavailable.

Forms are also available to:

  • report conditions related to hazardous substances; and
  • report or summarise outbreaks affecting settings such as schools and early learning centres, rest homes or hospitals.

Any information provided is strictly confidential and subject to the Privacy Act.

Download the appropriate form below to send to your nearest Te Mana Ora | Community and Public Health Office.

Note: Most forms have been consolidated across all regions for 2023.

Notification Forms

Outbreak Notification and Case Log Forms

Contact the Communicable Disease staff at your local Te Mana Ora office for further information:

CANTERBURY
Ph: +64 3 364 1777

SOUTH CANTERBURY
Ph: +64 3 687 2600

WEST COAST
Ph: +64 3 768 1160

Page last updated: 22/03/2024

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