Form

Measles, mumps and rubella: surveillance form

Form for health professionals to supply additional patient information after UKHSA has confirmed a case of measles, mumps or rubella.

• From: UK Health Security Agency
• Published: 19 August 2014
• Last updated: 27 October 2023
  Show all updates

  1. 27 October 2023

     Updated form.

  2. 19 August 2014

     First published.

Applies to England

Documents

Measles, mumps and rubella: surveillance form for confirmed cases

Ref: UKHSA gateway number GOV-15634

MS Word Document, 59.8 KB

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Details

Completed forms should either be uploaded to the HPZone record or return them to phe.mmrsurveillance@nhs.net.