Vermont requires health care providers, nurses, physician assistants, infection preventionists and others to report suspected or confirmed reportable diseases to the Department of Health. This online case report form is for conditions reportable within 24 hours. It asks for the condition, lab testing, the reporter and the reporting facility, and goes to the Department's Infectious Disease Epidemiology staff.
The person reporting completes the whole form and names the reporting facility and its provider; examples of reporting facility providers include a school nurse, director of nursing or medical director.
Download the current version from the source each time; forms change without notice.
Reportable Disease Case Report Form (online)
This form is completed online with Vermont Department of Health, Infectious Disease Epidemiology, 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.
Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.
Outbreaks, routine Lyme disease cases and immediately notifiable conditions. Immediately reportable conditions, such as measles, hepatitis A, tuberculosis disease and meningococcal disease, must be phoned in to the Department of Health's 24/7 line. The online form covers conditions reportable within 24 hours.
Not individually. Under the updated rule effective June 10, 2026, individual COVID cases and test results are no longer reportable in Vermont. Outbreaks of COVID and flu-like illness remain reportable to the Department of Health.