Request for Epi-1 Forms

Non-laboratory healthcare facilities wishing to report cases of disease to their local health department should complete and return an Epi-1 form. If your facility currently does not have any Epi-1 forms for reporting or is running low, please either:

Download the fillable PDF version of the Epi-1 form by clicking here. Fax completed forms to the Communicable Disease fax line, (804) 862-6294, or

Complete and submit the request form below. You should receive your request by mail within 1-2 weeks.