How do I report a case?
Effective Aug. 5, 2019, please report all cases by mail or phone.
Please place case report forms inside two sealed envelopes, both marked Confidential, to the appropriate address below.
Please DO NOT fax any confidential information.
For reports from Jefferson, Bullitt, Henry, Oldham, Spencer, Shelby and Trimble counties:
Report by Phone:
Sherita Hall or Aletia Smith
Louisville Metro Public Health Department
400 E. Gray St.
Louisville, KY 40202
For reports from all other counties:
HIV/AIDS Case Reporting Line:
Julie Kauzlarich, Krista Mevoli,
Bethany Brown, Manny Singh, Bob Ford or
1 (866) 510-0008
Kentucky Department for Public Health
275 E. Main St., HS2E-C
Frankfort, KY 40621
The federal Centers for Disease Control and Prevention (CDC) Case Report Guidelines requires use of these forms to report HIV or AIDS cases (as described in
Kentucky 902 KAR 2:020, §13).
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)
Pediatric HIV Confidential Case Report Form
(Patients younger than 13 at the time of diagnosis)
CDC HIV Surveillance Guidelines
Addressing HIPAA and Public Health Reporting (pdf, 63k)
HIPAA and the obligation of providers to report notifiable diseases
For assistance in 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.