Instructions for using the Universal Reporting Form (URF)

Providers are encouraged to report online using Reporting Central, but the URF can be used to report all notifiable diseases and conditions DOHMH.

Download and complete the Universal Reporting Form, then mail or fax it to DOHMH.

Mailing address: NYC Department of Health and Mental Hygiene
42-09 28th Street, CN-22, Long Island City, NY 11101

Fax number: call 1-866-692-3641 for the appropriate fax number (depending on the case).

Note: Call DOHMH directly at 1-866-692-3641 to report all suspected or confirmed cases of immediately notifiable diseases as well as outbreaks among three or more persons of any disease and unusual manifestations of any disease or condition

► Get more information about reporting diseases and conditions