Direct Data Entry for Notifiable Conditions

Organization Information

If you have questions, please email

Please provide the following details using corporate ownership information. You will have the opportunity, below in the next section, to list the names of each location included under this ownership. Please complete just one form per corporate organization.

(If different from above)

Required for Kentucky Organizations Only

Organization Primary Contact Information
Organization Infection Interventionist Contact Information
Which Direct Data Entry (DDE) service(s) are you interested in?

Replaces faxing EPID forms

Enter lab results for MDRO’s, STD’s, Hepatitis, and other reportable conditions under 902 KAR 2:02

Select the tests you conduct and result: