Formulaire

Reportable Disease - Measles (Form 12554*03)

Cerfa 12554*03

Any case of measles, clinical or confirmed, must be reported immediately by the health professionals (doctor or biologist) by means of this card or by any appropriate means (telephone, fax...) to the doctor of the LRA without waiting for the biological results.

    Fill out the form

    To whom shall I send this form ?

    J'ai réalisé une démarche administrative

    Je donne mon avis sur Services Publics +. L'administration concernée me répondra.

    Je donne mon avis

    Émetteur du formulaire administratif : Ministry of Health

    Verified 20 June 2018 - Directorate for Legal and Administrative Information (Prime Minister)