Form

Acute flaccid paralysis: reporting form

Patient summary form for health professionals to report cases of acute flaccid paralysis (AFP) and acute flaccid myelitis (AFM).

• From: UK Health Security Agency
• Published: 19 December 2018
• Last updated: 15 November 2022 — See all updates

Applies to England

Documents

Patient summary form for acute flaccid paralysis (AFP) and acute flaccid myelitis (AFM)

MS Word Document, 100 KB

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Details

Health professionals are requested to report all cases of acute flaccid paralysis (AFP) and acute flaccid myelitis (AFM) that meet the case definition.

Completed forms should be emailed to: [email protected]

Please see the UK Health Security Agency (UKHSA) clinical management guidance and the guidance on investigating and reporting cases for further information.

Published 19 December 2018
Last updated 15 November 2022 + show all updates

1. 15 November 2022

   Removed information on retrospective case reporting.

2. 21 October 2021

   Updated form.

3. 28 December 2018

   Added links to guidance documents and online survey.

4. 19 December 2018

   First published.