Report Card

Downloadable Form and Instructions

To download the North Carolina Communicable Disease Report Card (DHHS 2124) in PDF Format with Instructions from the North Carolina Epidemiology Branch, please Click Here.

The entire list of Confidential Disease Reporting Forms including the Supplemental Surveillance Forms are available at the following site:

http://www.epi.state.nc.us/epi/gcdc/manual/forms.html

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The Rutherford Polk McDowell District Health Department does not discriminate on the basis of race, color, national origin, sex, religion, age or disability in employment or the provision of services.

Free language assistance is available