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Reporting HIV/AIDS cases is vitally important to efforts to characterize the epidemic in Kentucky, gather resources for the fight against HIV/AIDS and maximize limited resources by directing assets to areas where they are likely to have the greatest impact. Funding for HIV-related medical services and treatment is directly related to the number of cases reported.   

How do I report a case?

Providers can report all cases via telephone or mail.


To report a case by phone, please call the HIV/AIDS Case Reporting Line:
1 (866) 510-0008
and speak to any of the following staff:

Julie Kauzlarich, Trey Cardwell, Krista Mevoli, Bethany Brown, Manny Singh, Sydney Richardson or Bob Ford

To report by mail, please place case report forms (available below) inside two sealed envelopes, both marked Confidential and addressed to:

Kentucky Department for Public Health
Attn: Surveillance
275 E. Main St., HS2E-C
Frankfort, KY 40621

Please do not fax confidential information.

Kentucky Department for Public Health follows the provisions outlined in 902 KAR 2:20. Reportable Disease Surveillance, section 16, page 31 .

KAR Title 902 - Cabinet for Health and Family Services - Dept. for Public Health

902 KAR 20:020E Statement of Emergency 

Disclaimer: We cannot guarantee the accuracy or current status of CDC forms and other CDC resources linked on this page. For the most current guidelines/guidance and forms, please visit the CDC HIV Case Reporting and Surveillance web page.

Adult HIV Confidential Case Report Form
(Patients 13 or older at the time of diagnosis)

FILLABLE Adult Confidential Case Report Form
(Please complete, save, print and mail to the address above)

Pediatric HIV Confidential Case Report Form
(Patients younger than 13 at the time of diagnosis)

FILLABLE Pediatric Confidential Case Report Form
(Please complete, save, print and mail to the address above)

CDC HIV Surveillance Guidelines

Addressing HIPAA and Public Health Reporting (pdf, 63k)
HIPAA and the obligation of providers to report notifiable diseases

For assistance determining a client's risk factor, please read 
CDC Technical Guidance for Risk Factor Ascertainment (pdf, 419k) 

Please refer to HIV/AIDS Resources for a complete list of KY HIV/AIDS legislation and regulations.