Disease Report Forms

To report a suspected or confirmed case, complete the appropriate disease report form below or report by phone by calling 610-344-6452 during regular business hours (8:30am-4:30pm Monday-Friday). Forms may also be printed and faxed to 610-344-5405.

Medical providers who need immediate assistance with a communicable disease when the Health Department is closed should call 610-344-6225 and press 1.

Animal Bite Reporting Forms

• Animal Bite Form - Complete this form if an individual has been bitten by an animal.
• Animal Health Report Card - To be completed by a veterinarian; fax to 610-344-5405 or mail to: Chester County Health Department, 601 Westtown Road, Suite 290, West Chester, PA 19380.

Disease Reporting Forms

• Communicable Disease Report Form – Please complete when reporting a communicable disease to the Chester County Health Department. 
• Influenza and RSV Reporting Form for Providers – For select providers to report Flu and RSV Cases during flu season.
• Lead Report Form 

Please complete these forms when reporting a respiratory outbreak in your facility (COVID, Flu, RSV or other respiratory illness).

• Respiratory Illness Outbreak Intake Form
• Respiratory Illness Outbreak Final Report Form