Forms

45 documents

1. 

   Fever and Rash Case Investigation Form

   Case investigation form · July 2026 · PDF, 417 KB

   Completed by the first health care worker to see the case (the first contact strategy) and submitted to the parish Medical Officer (Health).

   Keywords: case investigationfever and rash

   Download Fever and Rash Case Investigation Form, PDF
2. 

   General Surveillance Line Listing

   Line listing · July 2026 · PDF, 140 KB

   One line for each case during an outbreak investigation. It is sent daily during an early outbreak, or within 48 hours once the outbreak has waned.

   Keywords: line listing

   Download General Surveillance Line Listing, PDF
3. 

   Hepatitis B Case Investigation Form

   Case investigation form · July 2026 · PDF, 356 KB

   Cases are investigated on this form. Reports go to the parish Medical Officer (Health) within two weeks.

   Keywords: case investigationhepatitis B

   Download Hepatitis B Case Investigation Form, PDF
4. 

   HIV Confidential Reporting Form

   Notification or reporting form · July 2026 · PDF, 1.1 MB

   The confidential report of a case of HIV.

   Keywords: HIV and AIDS

   Download HIV Confidential Reporting Form, PDF
5. 

   HIV-Exposed Infants and Paediatric Cases (Ages Less Than 12 Years)

   Case investigation form · July 2026 · PDF, 796 KB

   The report for infants exposed to HIV and for children under 12 with HIV.

   Keywords: case investigationchildrenHIV and AIDS

   Download HIV-Exposed Infants and Paediatric Cases (Ages Less Than 12 Years), PDF
6. 

   Hospital Active Surveillance (HAS) Tool

   Audit tool · July 2026 · PDF, 1.4 MB

   The audit tool for hospital active surveillance, from the Regional Surveillance Audit Guidelines. Audits also check staff awareness, Class 1 notification books, posters and surveillance supplies.

   Keywords: hospitals

   Download Hospital Active Surveillance (HAS) Tool, PDF
7. 

   Hospital SARI and ILI Surveillance Reporting Form

   Notification or reporting form · July 2026 · PDF, 141 KB

   The weekly count of SARI and influenza-like illness admissions and deaths, completed by the hospital active surveillance nurse.

   Keywords: hospitalsinfluenzainfluenza-like illnesssevere acute respiratory infection

   Download Hospital SARI and ILI Surveillance Reporting Form, PDF
8. 

   Hotel Surveillance Reporting Form

   Notification or reporting form · July 2026 · PDF, 188 KB

   Hotels report the syndromes and health events under surveillance to the parish health department every week on this form: fever and respiratory symptoms (influenza-like illness), fever and rash, diarrhoea or gastroenteritis, and injuries. …

   Keywords: hotels

   Download Hotel Surveillance Reporting Form, PDF
9. 

   Jamaica Laboratory Surveillance Investigation Form

   Laboratory form · July 2026 · PDF, 104 KB

   Goes with every specimen sent to the National Public Health Laboratory.

   Keywords: laboratory testing

   Download Jamaica Laboratory Surveillance Investigation Form, PDF
10. 

    Leprosy (Hansen’s Disease) Case Investigation Form

    Case investigation form · July 2026 · PDF, 178 KB

    The case investigation form for leprosy (Hansen’s disease).

    Keywords: case investigationHansen’s disease

    Download Leprosy (Hansen’s Disease) Case Investigation Form, PDF
11. 

    Leptospirosis Case Investigation Form

    Case investigation form · July 2026 · PDF, 253 KB

    The case investigation form for leptospirosis.

    Keywords: case investigationleptospirosis

    Download Leptospirosis Case Investigation Form, PDF
12. 

    Malaria Case Investigation Form

    Case investigation form · July 2026 · PDF, 106 KB

    The Parish Medical Officer (Health) starts a preliminary case investigation and submits this form and a report within 24 hours of notification.

    Keywords: case investigationmalaria

    Download Malaria Case Investigation Form, PDF