Disease , Outbreak and Animal Bite Reporting For Providers
Clinicians are legally required to report Title 17 Diseases (PDF) to the Placer County Health Department. Latent Tuberculosis Infection (LTBI) in children under 5 years old is also a locally reportable disease and should be reported to the Placer County Health Department.
Laboratories are legally required to report positive testing results from the list of Reportable Laboratory Conditions (PDF) to the Placer County Health Department. Instructions on when to report and how to report can be found on page 2 in the Reportable Laboratory Conditions list.
Outbreaks in congregate settings -- including schools, childcare programs and residential care settings -- must be reported to the Health Department immediately.
- Confidential Morbidity Report (CMR) General Form (PDF) for reporting all conditions except Tuberculosis and conditions reportable to the Department of Motor Vehicles (DMV)
- CMR Tuberculosis Form (PDF) to report Tuberculosis
- CMR Lapse of Consciousness Form (PDF) to report Lapses of Consciousness or Control, Alzheimer's Disease or other conditions which may impair the ability to operate a motor vehicle safely (pursuant to H and S103900). Please indicate specific disorder under "Condition being reported"
- CMR Animal Patients Form (PDF) to report communicable diseases for animal patients
Electronic Disease Reporting
California Reportable Disease Information Exchange (CalREDIE) allows medical providers to submit CMR Forms electronically through the statewide secure web-based reporting system. If you are interested in becoming a CalREDIE user, please complete section 1 of the CalREDIE Reporter Account Authorization Form (PDF). The form may be submitted to Placer County Public Health via fax at 530-886-2945. For further information or to submit form via email, please call 530-889-7183 and ask to speak to the CalREDIE liaison.
Animal Bite Reports cannot be submitted through the CalREDIE system. Animal Bite Reports must be faxed within two hours to 530-886-5515.
Rabies virus is transmitted through the saliva of a rabid animal when it bites a person or another animal. Any bite from a wild animal or unknown animal should be considered a possible source of rabies.
To Report an Animal Bite:
- Fill out Animal Bite Report (PDF) in full detail
- Fax report to 530-886-5515 within 2 hours to Placer County Animal Services, Attention: Urgent Animal Bite
- Phone 530-886-5500 for more information
Note: Mailing reports delays mandatory quarantine protocols and can put others at risk of coming in contact with the animal.
For pediatric patients under 12 years of age at time of diagnosis, complete the Pediatric HIV/AIDS Confidential Case Report (PDF).
For adult patients over 13 years of age at time of diagnosis, complete the Adult HIV/AIDS Confidential Case Report (PDF).
Mailing Instructions for Reporting HIV/AIDS
- Double envelope all HIV/AIDS related materials.
- Outer envelope (e.g. sender or recipient address or label) must have no references to HIV/AIDS.
- Inner envelope will be marked "Confidential", sealed, and addressed to Erika Hoogendyk.
- All mail must be sent by traceable courier services only, such as FedEx.
- Emailing case information containing personal identifiers is strictly prohibited; faxing this information is not recommended.
Erika Hoogendyk (Surveillance Coordinator)
11572 B Avenue
Auburn, CA 95603
Report a Gastrointestinal (GI) Outbreak
- Submit completed Initial GI Outbreak Report Form (PDF) by fax to 530-886-2945.
- Submit completed Gastrointestinal Illness Line List spreadsheet (XLS) every 24 hours until all symptomatic cases resolve. Your investigator will instruct you where to send the line list.
- Submit completed Initial Respiratory Illness Outbreak Report Form (PDF) by fax to 530-886-2945.
- Submit completed Respiratory Illness Line List spreadsheet (XLS) every 24 hours until all symptomatic cases resolve. Your CD investigator will instruct you where to send the line list.