HHS-9-DCHealthcare Provider Confidential Disease Report (Reportable Diseases, Poisonings and Organisms)
Provider report of a reportable disease, poisoning or organism under 173 NAC 1.
- Completed by
- Physician or person reporting for the clinic/institution
- Issued by
- Nebraska Department of Health and Human Services, Division of Public Health, Office of Epidemiology
- Format
- Fillable PDF
- Language
- English