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HAHSTA Notifiable Disease Report Form


For questions regarding reporting of HIV, Viral Hepatitis, STD, and TB cases please contact us via phone at 202-671-4900 or via email at [email protected]

For questions regarding reporting publicly funded HIV, Viral Hepatitis, STD, and TB tests please contact us via phone at 202-671-5055. 

PLEASE NOTE: Completed forms can be faxed to us at 202-673-4367. Due to the sensitive nature of the information, no forms can be submitted via email.

Reporting Forms:

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