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Report perinatal hepatitis B

Primary and prenatal care providers

Primary and prenatal care providers should also report pregnant women who test positive for HBsAg.

To refer an HBsAg-positive pregnant or post-partum woman to the Perinatal Hepatitis B Prevention Program:

  1. Complete the Perinatal Hepatitis B prevention program patient information form
  2. Fax the form to (408) 792-1304

Delivery hospitals

Delivery hospitals should report all deliveries from HBsAg positive women.

To report an HBsAg-positive delivery to the Perinatal Hepatitis B Prevention Program:

  1. Complete the Hospital report form
  2. Fax the form to (408) 792-1304

Infant care providers

Infant care providers should report any cases of an HBsAg exposed infant/child.

To notify the Perinatal Hepatitis B Prevention Program about an HBsAg-exposed infant/child:

  1. Complete the Notification of HBsAg-exposed infant or child form
  2. Fax the form to (408) 792-1304