Coronavirus Disease (COVID-19) is a disease caused by the newly emerged coronavirus SARS-CoV-2.

COVID-19 Case Report Form

The COVID-19 Case Report Formpdf icon collects key information on COVID-19 case-patients, including:

• Demographic, clinical, and epidemiologic characteristics
• Exposure and contact history
• Course of clinical illness and care received

CDC developed the case report form to standardize the reporting of information on COVID-19 cases. These data will help us:

• Better understand the virus and its impact on health outcomes
• Inform public health response to prevent further spread of SARS-CoV-2

Here are two additional resources to help reporting jurisdiction health departments complete the case report form:

Please note that…