Tennessee requires all health care providers and others who know of or suspect a reportable disease or event to report it to the Department of Health under Rule 1200-14-01-.02, in the time and manner set by the Commissioner's annual list. The PH-1600 is the paper route for that report, and it covers STD treatment and latent TB results too. Laboratories may also use it to report results manually.
The reporting provider completes the whole form: provider, patient demographics, clinical details, lab results and STD treatment fields. The patient does not complete any part.
Download the current version from the source each time; forms change without notice.
PH-1600 Reporting Form (Reportable Diseases and Events)
Formulario de Informe PH-1600
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Yes. TDH accepts reports entered online in NBS, its reportable disease system; providers request an NBS account by completing a user survey. Practices can also send reports automatically through electronic case reporting (eCR) after registering with TDH. The faxed or mailed PH-1600 remains an option.
Not on the PH-1600. Blood lead levels are reported to the Childhood Lead Poisoning Prevention Program by fax, through its online lead input form, or by following the program's written lead reporting instructions.
Yes. TDH says health care reporting requirements apply to all providers located in Tennessee and to providers whose patients reside in Tennessee. A clinic across the state line treating a Tennessee resident for a reportable condition reports to TDH using the PH-1600, NBS or eCR.