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Testing for Zika Virus Disease

Zika Virus Testing Authorization Request

 
Zika Lab Testing Information and Forms Zika Lab Testing Information and Forms

To receive an authorization code, please fill the form completely and send by fax to:

Chicago Department of Public Health Communicable Disease program FAX: 312-746-4683.

Zika Virus Testing Authorization Request

An authorization code along with laboratory requisition forms for testing at IDPH and CDC will be provided by email to the provider contact listed on the request.

Specimens may be collected in advance of obtaining approval code, however specimens should not be sent to IDPH laboratory without the authorization code. Testing performed by public health laboratories will be at no cost to providers or patients.

Molecular and serologic Zika testing is now also available commercially. Zika testing through commercial laboratories does not require prior CDPH authorization. Faxing the completed Test Authorization Form is not necessary for specimens sent to commercial laboratories. However, additional testing and follow up for pregnant women may be required and CDPH may reach out to providers to ascertain symptoms and onset dates, exposure history and date (travel or through sexual exposure), pregnancy status and ultrasound findings. This is the same information collected in the CDPH Zika virus authorization request form used to authorize testing at PH laboratories, and should be collected in order to facilitate additional follow-up testing when appropriate.

Additional information for healthcare providers may be found on the CDC website: http://www.cdc.gov/zika/hc-providers/index.html

How to Contact CDPH How to Contact CDPH

 

Contact Us:

During normal business hours, Monday through Friday (excluding holidays)*:

*After hours, weekends, and holidays, call 311 and ask for the communicable disease physician on-call (or 312-744-5000 if outside the City of Chicago).

 

 

 

Zika Pregnancy Registry and Birth Defects Surveillance Forms Zika Pregnancy Registry and Birth Defects Surveillance Forms

To understand more about Zika virus infection, CDC established the US Zika Pregnancy Registry and is collaborating with health departments to collect information about pregnancy and infant outcomes following laboratory evidence of Zika virus infection during pregnancy. The data collected through this registry will be used to update recommendations for clinical care, to plan for services for pregnant women and families affected by Zika virus, and to improve prevention of Zika virus infection during pregnancy. 

Below are links to the fillable PDF forms for the the U.S. Zika Pregnancy Registry.  Please read the instructions in the forms on how to submit forms to the CDC.

U.S. Zika Pregnancy Registry - Infant Follow-Up Form

U.S. Zika Pregnancy Registry and Birth Defects Surveillance — Integrated Maternal Health History Form

U.S. Zika Pregnancy Registry and Birth Defects Surveillance — Integrated Neonate Assessment Form

City of Chicago Zika Delivery Checklist for Providers (**updated 2/15/2017)

For additional questions, you may reach the Chicago Department of Public Health by calling the Zika response line: 312-746-4835 or email: zika@cityofchicago.org. You will receive a response within 24 during regular business hours (M-F 8am to 4:30pm).

For urgent matters, you may reach the Communicable Disease Physician on-call by calling 311 (or 312-744-5000 if outside the City of Chicago).