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Imperial County
Public Health Department
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Medical Provider Resources
Alerts & Recalls
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Get Involved
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COVID-19
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Disease Report Forms
Disease Report Forms
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Birth - Death - Health Records
Birth Certificate Application
Death Certificate Application
Release of Health Information
Disease Report Forms
COVID-9 PUI Case Report
Animal Bite Report
Confidential Morbidity Report
Enhanced Gonorrhea Surveillance
HIV - AIDS
Selected Reportable Disease Report
Environmental Health
Maternal Child Adolescent Health
Home Visiting Program Referral Form
Public Record Request
These forms are used to report disease cases to the Imperial County Public Health Department. For more information, call (442) 265-1464 or send an email 24/7 to
phepireport@co.imperial.ca.us
Animal Bite Report
Confidential Morbidity Report
Enhanced Gonorrhea
HIV- AIDS
COVID-19 PUI Case Report
Forms
Birth - Death - Health Records
Birth Certificate Application
Death Certificate Application
Release of Health Information
Disease Report Forms
COVID-9 PUI Case Report
Animal Bite Report
Confidential Morbidity Report
Enhanced Gonorrhea Surveillance
HIV - AIDS
Selected Reportable Disease Report
Environmental Health
Maternal Child Adolescent Health
Home Visiting Program Referral Form
Public Record Request