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Infectious Disease Epidemiology, Prevention and Control Division
651-201-5414
Haemophilus influenzae (Hi) Neonatal Sepsis Expanded Surveillance (HiSNES) Report Form
The HiNSES form is used for reporting Haemophilus influenzae (Hi) Neonatal Sepsis for expanded surveillance to the Minnesota Department of Health.
On this page:
HiSNES forms & instructions
Frequently asked questions
Returning the completed form
More about HiSNES surveillance
Diseases to report with this form
HiSNES forms & instructions
- HiSNES Report Form (PDF)
Updated 1/2018- HiSNES Form Instructions (PDF)
Step-by-step instructions for filling out the HiSNES Form. Updated 1/2018 - ABCs Case Report Form
Please use both the HiSNES form and the ABCs form when reporting HiSNES.
- HiSNES Form Instructions (PDF)
Frequently asked questions
- If you have questions regarding these forms, please call 651-201-5414.
Returning the completed form
- After filling out the HiSNES form, please fax it to 1-800-233-1817.
More about HiSNES surveillance
- Haemophilus influenzae (Hi) Neonatal Sepsis Expanded Surveillance (HiNSES)
Surveillance for Haemophilus influenzae (Hi) Neonatal Sepsis was expanded among neonatal, pregnant and post-partum patients effective January 1, 2016.
Diseases to report with this form
More about this disease
Last Updated: 10/20/2022