Providers Syphilis Screening Kentucky Reportable Disease Form EPID 200 Form Kentucky Reportable Disease Form Fax #: 859.288.7512 Please complete and send this form via fax within 24hrs of reactive results. [wpforms id=”19646″] If you have question call, 859-899-5222 or email us at epidemology@LFCHD.com Additional Resources Providers Only (lfchd.org)