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

• Rapidly Fatal or Serious Community-associated Staphylococcus aureus Infection Case Report Form (PDF)
  Updated 10/2009

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.

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

• Reporting Staphylococcus aureus Infection

More about these diseases

• Staphylococcus aureus