Reporting Forms

The NC Division of Public Health/Communicable Disease Branch has revised surveillance forms and supporting documents. Part 1 and Part 2 of the Confidential Report of Communicable Disease forms are used by health care providers and local health department staff to report and investigate diseases that represent a public health threat according to 10A NCAC 41A.0101 Reportable Diseases and Conditions.

Part 1 of the Revised Communicable Disease Report (to be completed by physician)
Part 2 of the Communicable Disease Report (to be completed by Health Department staff)

CDC Information

Normal Hours Contact Numbers
(336) 703-3249
(336) 748-3644

After Hours & Weekends
(336) 703-3100
(336) 748-3644

Mission Statement

The Mission Statement of the Forsyth County Department of Public Health is to prevent disease and promote a healthy community through community engagement, education, regulation, and partnerships.

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Contact Us

799 North Highland Avenue
Winston-Salem, NC 27101
Phone: 336-703-3100
Fax: 336-748-3292
Email: Contact Us

Communicable Diseases:
Phone: 336-703-3249
Fax: 336-748-3644

Medical Records Information:
Phone: 336-703-3205
Fax: 336-727-8135

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