Forms
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Attention: Required reports may be sent directly and securely to SHHR using the following methods:
- fax reports to (405) 900-7586
- email to shhrsurveillancefax@health.ok.gov
Reporting Requirements
- What to Report
- How to Report
- Oklahoma Disease Reporting Manual, 2010 (PDF)
- Reporting for Oklahoma HIV Testing Sites, 2014 (PDF)
Communicable Disease Reporting Form
- Changes to the Communicable Disease and Injury Reporting Rules (PDF, 133.6KB)
- Communicable Disease Risk Exposure Report, ODH207 - Emergency Responder Occupational Risk Exposure Report (PDF, 1017.7KB)
- Oklahoma Administrative Code - OAC 310:555 Notification of Communicable Disease Exposure
Data Request Form
(To Request HIV/STD Statistics/Data)
- HIV/STD Service Data Request Form (PDF, 56.9KB)
Hepatitis Reporting Form
(To Report a Case of Hepatitis B or C)
- Hepatitis Report, ODH 295 (PDF, 83.7KB)
HIV/AIDS Reporting Forms
(To Report a Case of HIV or AIDS)
- Adult HIV/AIDS Case Report Form, CDC 50.42A - Fillable Form Revised 11/2019
- Pediatric HIV/AIDS Case Report Form, CDC 50.42B - Fillable Form Revised 11/2019
- Perinatal HIV Exposure Reporting (PHER), CDC 50.42D - Fillable Form Revised 11/2019
- Rapid Start/PrEP Referral Form and Instructions - Fillable Form Revised 04/2021
STD Reporting Forms
(To Report a Case of Chlamydia, Gonorrhea or Syphilis)
- Morbidity Report of Sexually Transmitted Disease, ODH 228 - Fillable Form Revised 1/2016 (PDF, 760KB)
- OSDH Monthly Report of Tests Performed for Sexually Transmitted Diseases, ODH 235 (PDF, 226KB)
Contact Information
Mailing Address:
Oklahoma State Department of Health
Sexual Health and Harm Reduction Services
123 Robert S. Kerr Ave, Ste 1702
Oklahoma City, OK 73102-6406
Physical Address:
Oklahoma State Department of Health
Sexual Health and Harm Reduction Services
123 Robert S. Kerr Ave.
Oklahoma City, OK
Phone: (405) 426-8400
Email: SHHRFax@health.ok.gov