Connecticut State Department of Public Health

Laboratory Reporting

Reporting Forms Logo 
 
  
The Laboratory Report of Significant Findings Form OL-15C  is the primary form used to report diseases on the current list of laboratory reportable findings and can be found on the Department of Public Health (DPH) "Forms" page. Other methods approved by the DPH, such as electronic files, may also be used. Laboratory reports in electronic format require special arrangements to assure accurate transfer of information and protect patient confidentiality. The DPH is transitioning to electronic laboratory reporting (ELR). For additional information about ELR, please visit the Electronic Laboratory Reporting page. 
 
All requested information must be supplied by the director of the primary laboratory. We recommend using the most current fillable forms available on the DPH "Forms" page, or 3-ply paper copies can be ordered by contacting the Epidemiology and Emerging Infections Program at 860-509-7994. The minimum required information to be reported is outlined below. All diseases on the current list of laboratory reportable findings must be reported as specified in the most recent January issue of the Connecticut Epidemiologist newsletter.


Each Report Must Include

  • Full name, address, date of birth, age, sex, race, ethnicity, and occupation of person affected
  • Infectious agent or other reportable laboratory findings
  • Date of collection
  • Method of identification
  • Full name, address, and telephone number of the provider
  • Full name, address, and telephone number of the person reporting and date of report
Distribution of Completed Report Forms
  • Mailed reports must be in envelopes marked "Confidential"
  • One copy must be mailed or faxed to the DPH
  • One copy must be mailed to the Director of Health of the patient's town of residence
  • One copy must be kept for the patient's medical record
DPH Contact Information

Completed OL-15C forms should be mailed or faxed to the DPH at:

Connecticut Department of Public Health
410 Capitol Avenue, MS#11FDS
P.O. Box 340308
Hartford, CT 06134-0308

FAX: 860-509-7910

Laboratory results may be called into the DPH at 860-509-7994.

For after hours, weekends and holidays call the DPH at 860-509-8000.

 
 
 
Tuberculosis Related Laboratory Forms
 
Carbapenem-resistant Enterobacteriaceae Reporting
Confirmation
 
When a laboratory identifies or presumptively identifies a significant isolate or other finding that requires confirmation by the State Public Health Laboratory as required in the annual list, the director of the primary laboratory must submit the isolate or specimen from which the finding was made to the: 
 
Dr. Katherine A. Kelley State Public Health Laboratory
Connecticut Department of Public Health
395 West Street
Rocky Hill, CT 06067-3503
 
Main Phone Number: 860-920-6500
  
Reporting Laws
(Connecticut General Statute - Section 19a-36-A2)
An annual list of the laboratory reportable significant findings will be prepared and mailed to directors of clinical laboratories licensed, registered, or approved by the Department of Public Health. Please refer to the current list when reporting findings since the list will be reviewed annually and revised when necessary.
 
(Public Health Code - Section 19a-36-A4)
The director of a laboratory that receives a primary specimen or sample, which yields a reportable laboratory finding, shall be responsible for reporting such findings within 48 hours to the local director of health of the town in which the affected person normally resides. In the absence of such information, the reports should go to the town from which the specimen originated and to the Department of Public Health. 

 

 

This page last updated 1/2/2020.