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: 

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.