North Dakota clinicians and facilities report notifiable conditions under NDCC 23-07, from acute flaccid myelitis to Zika, on this printable form (SFN 7630, 6-2023). It lists the reportable conditions, with those shown in red to be reported immediately, and collects patient demographics, disease and lab details. The same report can be filed through the secure online Morbidity Report Card.
The person reporting at the clinic, hospital, laboratory or other facility completes the form and names the physician, PA or NP. There is no patient section.
Download the current version from the source each time; forms change without notice.
North Dakota Morbidity Report
If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.
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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Yes. The online Morbidity Report Card states that confidentiality is protected by North Dakota Century Code 23-07-02.1 and 23-07-02.2. The printable SFN 7630 is sent by secure fax, and the same information can be phoned to the Disease Control line.
No. ND HHS says the Morbidity Report Card is only for reporting clinically verified tests and that individuals should not report in-home tests through it. Clinicians report confirmed or suspected notifiable conditions with the lab, test name, result and specimen details.