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Malaria (<em>Plasmodium</em> spp.) Case Report Form - Minnesota Dept. of Health

Malaria Case Report Form

This form can be used to report Malaria (Plasmodium spp.) to the Minnesota Department of Health. Please report all patients (symptomatic or asymptomatic) who test positive for Plasmodium species.

On this page:
Malaria form
Frequently asked questions
Returning the completed form
Diseases to report on this form

Malaria form

Frequently asked questions

  • If you have questions regarding this form, please call 651-201-5414.

  • When reporting on this form, a Yellow Card is not necessary.
    yellow card

Returning the completed form

After filling out this form, please return to MDH:
  • By mail (please mark the envelope "confidential") to:
    Infectious Disease Epidemiology, Prevention and Control
    625 North Robert Street
    Post Office Box 64975
    St. Paul, MN 55164-0975
  • By fax to:

Diseases to report with this form

Updated Friday, 07-Oct-2022 15:58:07 CDT