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 send to your nearest Community and Public Health Office.

Note: These forms will be progressively updated with the phase-out of faxes.

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:

Ph: +64 3 364 1777

Ph: +64 3 687 2600

Ph: +64 3 768 1160

Page last updated: 16/06/2022

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