How do I report a case?

Effective May 15, 2019, please report all cases to:

Reporting by Phone:
(866) 510-0008

Case reports can be mailed to:
Attn: Surveillance
Kentucky Department for Public Health
275 E Main St, HS2E-C
Frankfort, KY 40621

Please place case forms inside two sealed envelopes, both marked Confidential.

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 and 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 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.