HIV Reporting
Access HIV reporting information, forms, and instructions.
HIV Reporting Information Acute HIV Reporting Information HIV Lab Reporting InformationCase Reporting Information
Health Professional Mandatory Reporting
HIPAA Privacy Rule and Public Health (HIPAA)
Guidance from CDC and the U.S. Department of Health and Human Services, 2003
Mpox Report Form(Confidential)
California State Office of AIDS(Updates)
STD Reporting
Access STD reporting information, forms, and instructions.
STD Reporting Information Mpox Reporting InformationRefer to the HIV Reporting contact numbers for other jurisdictions.
HIV/AIDS Case Reporting
HIV/AIDS Case Reporting
By State law, HIV infection is a reportable condition in California. This requires laboratories, health care providers, and testing providers to report all cases of HIV infection to their local health department. This reporting requirement is necessary to timely monitor current trends in the epidemic and to ensure continued funding by federal and State funding agencies for local HIV treatment and prevention services.
California Health and Safety (H&S) Code Section 121022 (a) requires health care providers and laboratories to report cases of HIV infection to local health departments. H&S Code Section 121023 (a) requires that all CD4 + T-Cell test results also be reported to the local health department. By law and per State regulations, laboratories must report all CD4 + T-Cell test results and any HIV-indicative test, including all viral load results and confirmed antibody tests to their local health department within 7 days. However, H&S Code Section 121023 was amended by AB 1045, effective January 1, 2010, which allows a clinical laboratory to not report any CD4+ T-cell test result that is unrelated to a diagnosed case of HIV infection.
Laboratories are required to report test results to the local health jurisdiction where the health care provider facility is located. Laboratories are responsible for reporting all CD4 T-Cell test results related to a diagnosed case of HIV infection, as well as any HIV-indicative test, including all viral loads, even if undetectable, and confirmed antibody tests, to L.A. County's Health Officer. The Health Officer’s designee, Division of HIV and STD Programs, will follow up with health care providers for laboratory reports sent in order to complete the HIV/AIDS Case Report form.
Health care providers are responsible for providing the client's full name, date of birth and gender when submitting laboratory requisitions for any test used to identify HIV, a component of HIV, or antibodies or antigens to HIV.
Acute HIV Infection
Effective June 2016, the new regulation below requires acute HIV infection reporting within one working day of diagnosis.
In addition to routine reporting requirements set forth in section 2643.5, for acute HIV infection reporting, health care providers shall report all cases within one (1) working day to the local health officer of the jurisdiction in which the patient resides by telephone. If evidence of acute HIV infection is based on presence of HIV p24 antigen, providers shall not wait until HIV-1 RNA is detected before reporting to the local health officer.
California Regulations
CD4 Reporting Requirement HIV Reporting by name Providers LaboratoriesHIV Case Reporting
Download forms
The following documents can be downloaded for HIV reporting. Choose the appropriate HIV/AIDS case reporting form to complete
If you would like to call in to report an HIV case or have any difficulty retrieving these files, please call 1 (213) 351-8516.
LA County Adult Reporting Form (Updated Jan 2026)
Pediatric Reporting Form
(Updated 2023)
Send completed ACRF by mail in double envelopes
County of Los Angeles,
Department of Public Health
555 W. 5th Street, 34th Floor - DHSP/HCS
Los Angeles, CA 90013
STD Reporting Information
STD Reporting Information
STDs diagnosed in patients who reside in L.A. County should be reported to the L.A. County Department of Public Health, Division of HIV and STD Programs, within one (1) working day after the health care provider, or other person authorized to retrieve the report, has been notified.
California Regulations
California law requires health care providers to report chlamydia, including LGV, gonorrhea, and chancroid within 7 calendar days of diagnosis and to report syphilis within 1 working day.
California law (17 CCR §2505) requires laboratories to report positive tests for syphilis, gonorrhea, chlamydia trachomatis infections, including lymphogranuloma venereum.
The reporting of STDs does not require patient consent and does not contradict the HIPAA Privacy laws.
STD Case Reporting
Download forms
These forms can be typed or hand-written and may be returned to DHSP by either Fax or Mail.
STD CMR
Reporting Form
(Updated February 2026)
How to fill out a CMR(Dec 2018)
Chlamydia/ Gonorrhea
Reporting Form
(For Laboratories)
Syphilis
Reporting Form
(For Laboratories)
Fax both sides
1 (213) 749-9602
County of Los Angeles,
Department of Public Health, DHSP/STD
555 W. 5th Street, 34th Floor
Los Angeles, CA 90013
If you would prefer to submit reports electronically or have questions about reporting STDs, please contact the Clinical Guidance and Nursing Unit at 1 (213) 368-7441 or 1 (833) 996-3642.
If you would like a custom electronic version of the form pre-populated with your information, please email all information requested in Section 1 of the CMR form to: stdreporting@ph.lacounty.gov.