Forms
45 documents
- Download Accidental Poisoning Investigation Form,
Accidental Poisoning Investigation Form
The case investigation form for accidental poisoning.
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- Download Acute Flaccid Paralysis (AFP) – 60-Day Follow-Up Investigation,
Acute Flaccid Paralysis (AFP) – 60-Day Follow-Up Investigation
Completed after a full neurological examination at 60 days, to assess any residual paralysis.
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- Download Acute Flaccid Paralysis (AFP) Investigation Form,
Acute Flaccid Paralysis (AFP) Investigation Form
Completed and submitted to the parish Medical Officer (Health) within 48 hours of notification of a case of acute flaccid paralysis.
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- Download CARPHA Weekly Country Syndromic Surveillance Report,
CARPHA Weekly Country Syndromic Surveillance Report
Jamaica’s weekly syndromic surveillance report to the Caribbean Public Health Agency (CARPHA).
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- Download Chikungunya Case Investigation Form,
Chikungunya Case Investigation Form
Every suspected case of chikungunya is investigated. The report is submitted within 48 hours using this form, but need not be limited to it.
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- Download Class 1 Reporting Form,
Class 1 Reporting Form
Notify a Class 1 disease or event. Health care providers report it immediately on suspicion to the parish health department or the National Surveillance Unit, and submit this form within 24 hours. During a disaster, deaths are also …
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- Download Congenital Syndrome Associated with Zika Virus Case Investigation Form,
Congenital Syndrome Associated with Zika Virus Case Investigation Form
Completed for each suspected case of congenital syndrome associated with Zika virus infection.
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- Download Congenital Syphilis Investigation Form,
- Download COVID-19 Case Investigation Form,
COVID-19 Case Investigation Form
The Parish Medical Officer (Health) starts a case investigation within 24 hours of notification, and a preliminary case or cluster report goes to the National Surveillance Unit within 24 hours. The form is also completed for each COVID-19 …
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- Download Daily COVID-19 Laboratory Sample Line Listing Report,
Daily COVID-19 Laboratory Sample Line Listing Report
Lists the samples sent for COVID-19 testing. A copy goes to the parish health department or the National Surveillance Unit with the Jamaica Laboratory Surveillance Investigation Form.
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- Download Dengue Case Investigation Form,
Dengue Case Investigation Form
Completed from the findings of each case investigation. For a dengue death, the section on deaths is completed too, and the form is submitted within 72 hours of notification.
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- Download Events Supposedly Attributed to Vaccines and Immunizations (ESAVI) Notification Form,
Events Supposedly Attributed to Vaccines and Immunizations (ESAVI) Notification Form
Notifies an event supposedly attributable to vaccination or immunization (ESAVI).
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About the forms
Each form is an appendix of the National Surveillance Manual (July 2026). Send completed forms to your parish health department or the National Surveillance Unit.
Questions about a form?
The National Surveillance Unit: 876-633-7937, surveillance@moh.gov.jm.