West Virginia Reportable Disease Yellow Card

West Virginia providers report a reportable disease case to the local health department on the Bureau for Public Health's general paper case report, known as the Yellow Card. It asks about the patient, symptom onset, hospitalization, death, lab tests and high-risk settings. Disease-specific protocols and forms on each disease's page add detail where needed.

Who completes it

The reporting physician, provider or facility completes and signs the whole card, naming the local health department it goes to and another provider with patient information if different from the reporting source.

Submitting and payment

How to submit it
Send the completed card to the local health department and keep a copy for your records. Timeframes vary by disease and are set out on each disease or condition page; urgent conditions are phoned in.

Good to know

  • The card asks whether the patient works as a food service, health care or child care worker, or attends day care or preschool or lives in a long-term care facility.
  • Attach copies of laboratory tests, dates and results, such as culture or serology, and name the laboratory.
  • The current card is Rev. 09/2011; WVEDSS is the state's electronic disease surveillance system, and the Reportable Disease Manual covers detailed protocols.
  • A checkbox on the card lets the reporter ask for more blank report cards from the health department.

Get the official form

Download the current version from the source each time; forms change without notice.

Confidential Reportable Disease Case Report (Yellow Card)

How this list is checked

A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.

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Frequently asked questions

Where do I send the West Virginia Yellow Card?

To the local health department, keeping a copy for your records. The card has a space to name the local health department you are reporting to, and OEPS publishes local health department resources and surveillance regions on its disease reporting page.

How fast do West Virginia diseases have to be reported?

It depends on the disease. OEPS says individual reporting protocols and timeframes are on each disease or condition page, reached through its A-Z list of diseases, and its reportable disease charts for providers summarize them. Urgent conditions are reported by phone.