Reporting Forms

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Mandatory Reporting

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

  • Suspected Child Abuse
  • Suspected Dependent Adult or Elder Abuse
    • Contact APS if you observe, suspect, or have knowledge of physical abuse, financial abuse, abandonment, isolation, abduction, neglect by others or neglect by self. Anyone can report abuse to APS, not just mandated reporters.
    • To make a report of elder or dependent adult abuse, call 800-339-4661
    • Mandated reporters can use an online system to make an APS report at:
      https://sandiego.leapsportal.net/LEAPSIntake/NewPublicIntakeReport.aspx
    • Use of the online portal satisfies the requirement to submit a written report
    • Written reports can be completed via Form SOC 341.
    • Mandated reporter training for dependent adult or elder abuse available through the California Department of Social Services training website

For general public/layperson reporting:

 

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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.