Form

Hepatitis: form for reporting cases from GUM to HPTs

Forms for reporting cases of acute hepatitis A, acute hepatitis B and acute hepatitis C diagnosed in Genitourinary Medicine Clinics (GUM) to local health protection teams (HPTs).

Documents

Form for reporting hepatitis from GUM to HPTs (MS Word)

This file may not be suitable for users of assistive technology. Request an accessible format.

If you use assistive technology (eg a screen reader) and need a version of this document in a more accessible format, please email publications@phe.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Form for reporting Hepatitis from GUM to HPTs (PDF)

This file may not be suitable for users of assistive technology. Request an accessible format.

If you use assistive technology (eg a screen reader) and need a version of this document in a more accessible format, please email publications@phe.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Detail

These forms were developed by PHE hepatitis leads and the British Association of Sexual Health and HIV (BASHH). Please complete and return either form via secure fax or post to your local health protection team.