The following forms are useful for the protection and improvement of the health and safety of the people of Connecticut. Information provided to the Department of Public Health by submitting completed report forms may help prevent disease, injury and disability, and assure the condition in which people can be healthy.
Department of Education
Immunizations Exemption Forms


Immunizations Laws and Regulations           
Letter of Support

Licensing, Certification and Adverse Events
  • Reportable Event Forms for Long Term Care Facilities 


Office of Health Care Access

Reportable Disease Specific Forms
State Public Health Laboratory Reporting Forms