The intention of this survey is to ensure that residents of Washtenaw County diagnosed with disease(s) that are reportable in the state of Michigan are receiving effective treatment, and further, for the health department to better understand the extent of diseases & outbreaks in Washtenaw County.
Please use this form to report all communicable diseases except Animal Bite or Bat Exposures, HIV/AIDS and Lyme disease. If reporting HIV/AIDS or Lyme disease, please use the following forms:
Report an Animal Bite or Bat Exposure or
Lyme Disease Reporting Form or
Michigan Adult HIV Confidential Case Report Form.
Please submit one form for each disease you are reporting.
Schools, childcare, and congregate care facilities: Individual cases of COVID-19, influenza, or norovirus do not need to be reported unless it is a school/facility
administered test. Please also use this secure form to report the unusual occurrence or outbreak of any disease or condition.
This survey should take approximately 5 - 10 minutes to complete. This form is secure and HIPAA-compliant.
If you have additional questions or concerns, please contact Washtenaw County Health Department by email at cd@washtenaw.org or by phone at 734-544-6700.