Case Report Form Templates

This form is used for reporting and documenting cases of human infection with the 2019 Novel Coronavirus.

This form is used for reporting cases of swine influenza.

This document is used for reporting confidential HIV cases in adults in the state of Kentucky. It ensures privacy and helps track and manage HIV cases.

This form is used for documenting and reporting cases of SARS-CoV-2 (Covid-19) in the Nunavut region of Canada.

This form is used for documenting and reporting cases of pediatric HIV/AIDS for patients who are 13 years of age in the state of New Hampshire.

This type of document is a confidential hepatitis B provider case report form specific to New Hampshire. It is used for reporting new diagnoses and perinatal exposures of hepatitis B in the state.

This form is used for reporting adult HIV/AIDS cases in New Hampshire for patients who are 13 years of age or older.

This form is used for reporting Covid-19 cases in the state of New Hampshire. It collects essential information about individuals who have tested positive for the virus.

This form is used for reporting confidential sexually transmitted disease cases in Pacific County, Washington.

This form is used for reporting cases of Multisystem Inflammatory Syndrome associated with Covid-19.

This form is used for reporting cases that are still under consideration in the state of Nebraska.

This document is a case report form used in Rhode Island for recording perinatal HIV exposure cases. It helps in tracking and monitoring instances of HIV transmission from mother to child during pregnancy, delivery, or breastfeeding.

This form is used for reporting postnatal cases of hepatitis B and the administration of hepatitis B immune globulin (HBIG) in Washington, D.C. It is essential for tracking and managing hepatitis B cases in the district.

This document analyzes ten years of reported cases of false allegations of sexual assault. It examines the patterns and trends in these cases, shedding light on the prevalence and impact of such allegations.

This form is used for reporting confidential Covid-19 cases in New Hampshire.

This form is used for investigating cases of invasive Group A Streptococcus disease in Indiana.