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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)

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).

DMV CMR Form