Online non-emergency report of suspected child abuse or neglect by a mandated reporter.
- Completed by
- Mandated reporter (physician, nurse, other health practitioner)
- Issued by
- DC Child and Family Services Agency
- Format
- Online only
- Language
- English
DC Health requires health care providers to report notifiable diseases and conditions under DCMR Chapter 22-B2, and this electronic form is how most of them reach its Division of Epidemiology-Disease Surveillance and Investigation (DE-DSI). It covers every notifiable condition except HIV, STDs, viral hepatitis B and C, and tuberculosis, which go to HAHSTA. The form sits in the DC Reporting and Surveillance Center (DCRC).
The health care provider who diagnoses or suspects the notifiable condition completes the whole online report. It goes to DE-DSI rather than to HAHSTA.
Download the current version from the source each time; forms change without notice.
Notifiable Disease and Condition Case Report Form (DCRC)
This form is completed online with DC Health, Division of Epidemiology-Disease Surveillance and Investigation, so there is no PDF to fill. Vero Scribe writes the visit note it draws on, so the details are ready when you complete it.
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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Every notifiable disease or condition on DC Health's list except HIV, sexually transmitted diseases, viral hepatitis B and C, and tuberculosis, which go to HAHSTA on its own forms. The full list of notifiable conditions and their reporting timeframes is posted on DC Health's Notifiable Diseases and Conditions Resources page.
No. DC Health states that the electronic DCRC Notifiable Disease and Condition Case Report Form replaces the Communicable Disease Case Report Form, the paper form previously used to report cases to DE-DSI. Providers now complete the report online in DCRC, the same system used for HAHSTA, TB and animal bite reports.
DC Health states that all health care providers are required by law to report certain diseases and conditions under DCMR Chapter 22-B2. Laboratories in the District have their own duties, including reporting all positive acid-fast bacilli results, whether found by smear, culture or another method.