Ohio providers report a case or suspected case of a reportable infectious disease under OAC Chapter 3701-3 on this one-page fillable form (Rev. 5/14), sent to the patient's local health department, which enters it in the Ohio Disease Reporting System (ODRS). It records the patient, sensitive occupations, provider, diagnosis, lab results and treatment status. HIV/AIDS is not reported on this form.
The health care provider or infection control professional who diagnoses or suspects the condition completes it; the ODRS number is for the health department. The 'Please submit to' block names the receiving local health department.
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Ohio Confidential Reportable Disease
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No. The form is printed with the instruction not to use it to report HIV/AIDS. HIV is reported under the Ohio Department of Health's separate HIV reporting requirements. Use HEA 3334 for the other reportable infectious diseases listed in ODH's Know Your ABCs quick guide.
To the local health department where the patient lives, by fax, mail or email; the 'Please submit to' block on local copies names it. The health department then enters the case in ODRS. Class A diseases must also be phoned to the local health department immediately.