Malaria Case Report Form

This form can be used to report Malaria (Plasmodium spp.) to the Minnesota Department of Health. Please report all patients (symptomatic or asymptomatic) who test positive for Plasmodium species.

On this page:
Malaria form
Frequently asked questions
Returning the completed form
Diseases to report on this form

Malaria form

• Malaria Case Report Form (PDF)
  Updated 6/2012
  

Frequently asked questions

• If you have questions regarding this form, please call 651-201-5414.
  
  
• When reporting on this form, a Yellow Card is not necessary.
  

Returning the completed form

• By mail (please mark the envelope "confidential") to:
  Infectious Disease Epidemiology, Prevention and Control
  625 North Robert Street
  Post Office Box 64975
  St. Paul, MN 55164-0975
  
• By fax to:
  1-800-233-1817

Diseases to report with this form

• Reporting Malaria (Plasmodium spp.)