​​​​​​​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 the Surveillance staff who will walk you through the process of reporting.

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).

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 HIV Data Guidelines and Resources

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)

Addressing HIPAA and Public Health Reporting

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.