EPID 200 is the Kentucky Department for Public Health's general case report for diseases and conditions reportable under 902 KAR 2:020, and it doubles as the confidential STD case report. A clinician meets it after suspecting or diagnosing a reportable condition. It goes to the local health department serving the patient's county of residence, or to the state STD program for STD-only reports.
The person or agency reporting the case completes the whole form and names the attending physician. The STD section is filled in only for sexually transmitted diseases.
Download the current version from the source each time; forms change without notice.
Kentucky Reportable Disease Form
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.
Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.
No. Page 2 of EPID 200 states that forms other than EPID 200 are required for HIV/AIDS cases in children and adults, and that HIV/AIDS reports should not be faxed. Kentucky posts fillable adult and pediatric confidential case report forms, with telephone and mailing details on its HIV/AIDS reporting page.
Depending on the condition's notification classification in 902 KAR 2:020, reports go by phone, electronically, or by fax or mail on EPID 200. When the first report is made by telephone, an electronic or fax submission must follow within one business day to the patient's local health department.
The form is dated 7/2024 and is a two-page fillable PDF, with reporting instructions and routing for HIV, STD and other conditions on page 2. Kentucky's STD program page also links a 2025 fillable copy of EPID 200 for STD case reports.