Confidential Morbidity Report Form (CMR)
The Confidential Morbidity Report Form is designed for healthcare providers to report those diseases mandated by Title 17, California Code of Regulations (CCR). Failure to report is a misdemeanor (Health and Safety Code §120295) and is a citable offense under the Medical Board of California Citation and Fine Program (Title 16, CCR, §1364.10 and 1364.11)
Confidential Morbidity Report Form
Confidential Morbidity Report - TB (for confirmed or suspected cases of active TB disease)
Respiratory Disease Death Report Form
Department of Motor Vehicles (DMV) Confidential Morbidity Report Form (CMR)
The DMV CMR Form is used for reporting lapses of consciousness or control, Alzheimer's disease or other conditions which may impair the ability to operate a motor vehicle safely (pursuant to H&S 103900).
Facilities
Main Health Facilities Center
2525 Grand Avenue
Long Beach, CA 90815
Phone: (562) 570-4000
Multi-Service Center for the Homeless »
1301 West 12th Street
Long Beach, CA 90813
Phone: (562) 570-4500
Fax: (562) 570-8234
Ronald R. Arias Health Equity Center - Center for Family and Youth »
6335 Myrtle Avenue
Long Beach, CA 90805
Phone: (562) 570-3300
Fax: (562) 570-3306
Other Facilities »
