Under § 2500(b), it shall be the duty of every health care provider, knowing of or in attendance on a case or suspected case of a listed disease or condition, to report to the local health officer.
Local health officer: a health care provider reports to the local health officer for the jurisdiction where the patient resides.
Seven days: diseases marked WEEK should be reported by electronic transmission (including FAX), telephone, or mail within seven calendar days of identification.
Outbreaks: Outbreaks of any disease (including diseases not listed in §2500). Specify if institutional and/or open community.
Failure to report: failure to report is a misdemeanor (Health & Safety Code §120295).
| Question | Answer |
|---|---|
| Form Name | CDPH 110a |
| Form Length | 5 pages |
| Fillable? | Yes |
| Fillable fields | 233 |
| Avg. time to fill out | 39 min |
| Edition | 09/2022 |
| Issuing agency | California Department of Public Health |
| Where to send | The local health officer for the jurisdiction where the patient resides |
| Other names | CDPH 110a, CDPH 110A, CDPH110A, Form CDPH 110a, California CDPH 110a, Confidential Morbidity Report |
| Official source | CDPH 110a (Rev 09/2022), California Department of Public Health |
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