Provider Resources

Healthcare providers and facilities can find forms for reporting communicable diseases or for preparing for and responding to a public health emergency below. You may also wish to read City of Berkeley Health Alerts & Advisories or Health Officer Orders. You can sign up to receive public health alerts via email.

Communicable disease reporting 

Physicians who need to report a suspected public health emergency should contact Communicable Disease Prevention & Control Program immediately at (510) 981-5292; or after hours, call Berkeley Police dispatch at (510) 981-5911 and ask for the Health Officer on call. 

Healthcare providers should use the forms linked below to report communicable diseases to the City of Berkeley. 

• Monkeypox Screening Worksheet

• Report a Communicable Disease  

• Report COVID-19  

• Report Tuberculosis  

• Report to DMV 

• Request to Test for Zika Virus 

Reportable diseases and CDPH updates 

• List of Reportable Diseases 

• Changes to Letter to Providers - 2019 Title 17 2500  

• Changes to Letter to Laboratories - 2019 Title 17 2505 

Public health emergency preparation and response 

Healthcare providers should collaborate with the City of Berkeley’s Public Health Emergency Preparedness Unit (PHEP) to prepare for and respond during a public health emergency. 

Preparing for a public health emergency 

Healthcare providers work with the City to be prepared in case of a public health emergency. 

Berkeley Healthcare Preparedness Coalition 

The Berkeley Healthcare Preparedness Coalition is a voluntary and informal, multi-agency workgroup created to coordinate healthcare preparedness for all-hazard emergencies through mitigation, planning, response and recovery in the City of Berkeley. Members benefit in many ways. The coalition provides a time to: 

• Share and exchange information and emergency plans 
• Clarify healthcare partner assumptions and expectations 
• Build partnerships within Berkeley for Mutual Aid Response 
• Discuss gaps and how to address those gaps 
• Drill and exercise with all Healthcare partners during the Annual Statewide Medical Health Exercise 

For more information, email berkeleymedhealth@berkeleyca.gov

California Health Alert Network System (CAHAN) 

Sign up to receive information through the CAHAN. Through CAHAN, you can get health alerts, find guidelines on prevention, coordinate disease investigation efforts, get preparedness planning resources, and more. You can receive alerts by pager, email, fax, or phone. To sign up, email berkeleymedhealth@berkeleyca.gov  

Responding during a public health emergency 

Healthcare partners should use the forms linked below during a public health emergency. Please send completed forms to HHCSDOC@cityofberkeley.info or fax to (510) 981-2309.  

• Medical/Health Request Form
  This form should be used by facilities to request resources that are "medical" in nature. This includes medical supplies, pharmaceuticals (medications, vaccines, antidotes, etc.), medical personnel, decontamination supplies, surge supplies, etc. 

• Medical/Health Situational Status Report Form
  This form is used by medical facilities to report situational status updates to City of Berkeley HHCS DOC given your facility activation, and level of functionality and facility damage.

Updated May 24, 2023