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  1. Home
  2. Diseases and Conditions
  3. Staphylococcus Aureus (S. Aureus or “staph”)
  4. Vancomycin Intermediate Staphylococcus Aureus (VISA) and Vancomycin Resistant Staphylococcus Aureus (VRSA)
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Infectious Disease Reporting

  • Infectious Disease Reporting Home
  • Reportable Diseases
  • Methods of Reporting
    • Report Immediately by Telephone
    • Phone Reporting
    • Report Forms
    • Order Reporting Forms
  • Persons Required to Report
  • Submitting Clinical Materials
  • Reporting Rule

Related Topics

  • Annual Summary of Disease Activity
  • Minnesota Electronic Disease Surveillance System (MEDSS)
  • Reporting Blood Lead Test Results

Infectious Disease Reporting

  • Infectious Disease Reporting Home
  • Reportable Diseases
  • Methods of Reporting
    • Report Immediately by Telephone
    • Phone Reporting
    • Report Forms
    • Order Reporting Forms
  • Persons Required to Report
  • Submitting Clinical Materials
  • Reporting Rule

Related Topics

  • Annual Summary of Disease Activity
  • Minnesota Electronic Disease Surveillance System (MEDSS)
  • Reporting Blood Lead Test Results
Contact Info
Infectious Disease Epidemiology, Prevention and Control Division
651-201-5414
IDEPC Comment Form

Contact Info

Infectious Disease Epidemiology, Prevention and Control Division
651-201-5414
IDEPC Comment Form

Vancomycin Intermediate and Vancomycin Resistant Staphylococcus aureus (VISA/VRSA) Case Report Form

There is also a supplemental reporting form for Vancomycin Intermediate and Vancomycin Resistant Staphylococcus aureus (VISA/VRSA).

Before filling out the VISA/VRSA Case Report Form, please call MDH at 651-201-5414 or 1-877-676-5414.

On this page:
VISA/VRSA Form
Frequently Asked Questions
Returning the Completed Form

VISA/VRSA Case Report Form

  • Vancomycin Intermediate and Vancomycin Resistant Staphylococcus aureus (VISA/VRSA) Case Report Form (PDF)
    Updated 10/2015

Frequently Asked Questions

  • Before filling out the VISA/VRSA Case Report Form, please call MDH at 651-201-5414 or 1-877-676-5414.

  • When reporting on a VISA/VRSA Case Report Form, a Yellow Card is not necessary.
    no yellow card

Returning the Completed VISA/VRSA Case Report Form

  • Please return the completed form to MDH:
    • 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 Staphylococcus aureus Infection

More about these diseases

  • Staphylococcus aureus
Tags
  • staph
Last Updated: 10/20/2022

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