Reporting Forms

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Mandatory Reporting

Under California state law, medical personnel (including prehospital staff) are legally required to be mandatory reporters. If you suspect abuse of a child or dependent/elder, you must report as follows: 

For general public/layperson reporting:

 

AB-1417 Flow Chart
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Exposure Reporting

In the event of an exposure, all prehospital provider agencies shall complete the Communicable Disease Exposure Form and follow the directions to route the completed form to the appropriate parties. Please see County EMS Policy S-009 for more information.

Fillable Communicable Disease Exposure Reporting Form now available.

Under existing federal, state and local regulations:

  • all prehospital provider agencies shall develop and implement policies regarding the prompt reporting and follow-up of exposures to contagious infectious diseases
  • in the event of an exposure all prehospital provider agencies shall complete the Communicable Disease Exposure Form and follow the directions to route the completed form to the appropriate parties.
  • EMS agencies and receiving facilities shall work together to ensure compliance with the regulations.
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Out of Hospital Birth Reporting

In the event of an out of hospital birth, the prehospital provider agency responsible for the delivery of the newborn  shall complete the Out of Hospital Birth Report (S-166A) and immediately provide a copy to the patient.

Additional information and resources for patients about registering an out of hospital birth can be found on the San Diego County Office of Vital Records website.