Communicable Disease
Animal Bite / Rabies Investigation Form (NEW - November 2024)
Communicable Disease Report Form (NEW - June 2024)
Infectious Diseases
- Emerging respiratory pathogens and Severe Acute Respiratory Infection (SARI) case report form (PHAC)
- Viral Respiratory Illness Hospital Admission Or Death Reporting Form (October 2023)
- NWT Measles Case Investigation Form (December 2023)
- NWT Measles Case and Contact Linelist (Excel) UPDATED - March 2025
- NWT Poliomyelitis Investigation Reporting Form (September 2023)
- Pertussis Investigation Form (December 2023)
- Pertussis Contact List (January 2020)
Immunizations
- Vaccination Administration Report Form (Only for those not on EMR)(January 2023)
Sexually Transmitted Infections
- Hepatitis B Case Investigation Form (UPDATED - March 2025)
- Hepatitis C Case Investigation Form (UPDATED - March 2025)
- NWT STI Case Investigation Report Form (November 2022)
- NWT STI Contact Tracing Form (November 2022)
- NWT Biolytical Insti HIV/Syphilis Multiplex Point-of-Care Test (POCT) Reporting Form (June 2023)
- Syphilis Lost-to-Follow-up Report Form (July 2023)
- Syphilitic Stillbirth Report Form (December 2023)
Tuberculosis
- NWT Bacille Calmette-Guérin (BCG) Vaccine Consent Form
- TB Assessment Form (UPDATED - July 2024)
- Tuberculin Skin Test (TST) Report Form (April 2023)
- TB Investigation Contact Tracing Form (UPDATED - July 2024)