Toxic Shock Syndrome Case Report Form

This is the reporting form for Toxic Shock Syndrome (TSS) to the Minnesota Department of Health.

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

TSS form

• Toxic Shock Syndrome Case Report Form (PDF)
  Posted 6/23/09
   

Frequently asked questions

• If you have questions regarding the Toxic Shock Syndrome Case Report Form, please call 651-201-5414.
   
• When reporting on a Toxic Shock Syndrome Case Report Form, a Yellow Card is not necessary.

Returning the completed form

After filling out the Toxic Shock Syndrome Case Report Form, please return the completed form to MDH:

• By fax to:
  1-800-233-1817
• 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

Diseases to report with this form

• Reporting Toxic Shock Syndrome