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.

• Influenza and RSV Reporting Form for Providers
• Communicable Disease Report Form
• Lead Report Form