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Rapidly Fatal or Serious Community-associated Staphylococcus aureus Infection Case Report Form - Minnesota Dept. of Health

Rapidly Fatal or Serious Community-associated Staphylococcus aureus Infection Case Report Form

This form is used to report community-associated Staphylococcus aureus to the Minnesota Department of Health.

On this page:
CA-SA form
Frequently asked questions
Returning the completed form
Diseases to report on this form

CA-SA 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.
    no yellow card

Returning the forms

After filling out this form, please return it 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:
    1-800-233-1817

Diseases to report with this form

More about these diseases

Updated Friday, 14-Oct-2022 18:18:01 CDT