Reporting HIV/AIDS cases is vitally important to efforts to characterize the epidemic in Kentucky, gather resources to fight HIV disease, target limited resources to maximize benefits and uncover clusters of HIV transmission as soon as possible. Funding for HIV-related medical services and treatment is directly related to the number of cases reported.
How do I report a case?
To report a case by phone, please call the
HIV/AIDS Case Reporting Line at 1 (866) 510-0008
and speak to any of the following staff:
Bethany Brown, Manny Singh, Sydney Richardson, Julian Kim, Mickayla Conner, Destiny Carte, Shaw Powell or Bob Ford
To report by mail, please place case report forms (available below) inside two sealed envelopes, both marked Confidential, and addressed to:
Kentucky Department for Public Health
Attn: Surveillance
275 E. Main St., HS2E-C
Frankfort, KY 40621
Please do not fax confidential information.
Kentucky Department for Public Health follows the provisions of
902 KAR 2:020 §16. Reportable Disease Surveillance (section 16, page 12).
We cannot guarantee the accuracy or current status of CDC forms and other CDC resources linked on this page. For the most current guidelines/guidance and forms, please visit the
CDC HIV Case Reporting and Surveillance web page
Adult HIV Confidential Case Report Form
(Patients 13 or older at the time of diagnosis)
Fillable Adult Confidential Case Report Form
(Please complete, save, print and mail to the address above)
Pediatric HIV Confidential Case Report Form
(Patients younger than 13 at the time of diagnosis)
Fillable Pediatric Confidential Case Report Form
(Please complete, save, print and mail to the address above)
CDC HIV Surveillance Guidelines
Addressing HIPAA and Public Health Reporting
HIPAA and the obligation of providers to report notifiable diseases
For assistance determining a client's risk factor, please read
CDC Technical Guidance for Risk Factor Ascertainment
Please refer to
HIV/AIDS Resources for a complete list of KY HIV/AIDS legislation and regulations.