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Request Access to Online Disease Case Reporting

 
This page has been automatically translated from English. MSDH has not reviewed this translation and is not responsible for any inaccuracies.

Request an account with MSDH to report disease cases through our on-line reporting card.

Submit the form below with your information to request access to online disease reporting.

Please provide the best phone number to reach you for verification. You can be registered only after we contact you by phone to confirm your information.


Register for reporting type:

  • Disease reporting (not including COVID-19)
  • COVID-19 reporting only
  • Both COVID-19 and other disease reporting

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Last reviewed on Nov 14, 2019
Mississippi State Department of Health 570 East Woodrow Wilson Dr Jackson, MS 39216 866-HLTHY4U Contact and information

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