For Providers: How to Report a Cancer Case

Cancer is designated as a reportable disease in the state of Utah (Cancer Reporting Rule, R384-100).

Reporting Cancer Cases to the Utah Cancer Registry

Health care providers are required to report cases to the Utah Cancer Registry when they diagnose a reportable case but do not send a tissue specimen to a lab or refer the patient to a hospital for treatment. 

Additionally, UCR may request a report form when other reporting sources do not provide adequate information about the cancer case.

What Form Should I Use to Report a Cancer Case?

UCR provides a one-page report form for health care providers to complete about their reportable cancer cases.

Urologists and dermatologists have forms that are specific to those specialties:

All other providers can use the General Report Form

The report forms are editable pdfs that can be completed on the computer or printed. These forms can be mailed or faxed to UCR: 

Mailing Address: 650 Komas Drive, Suite 106B, Salt Lake City, UT 84108
Fax Number: 801-851-4560


Electronic Reporting Through Centers for Medicare & Medicaid Electronic Health Record (EHR) Incentive Program

Health care providers can opt to report their cases electronically through the Centers for Medicare and Medicaid Electronic Health Record (EHR) Incentive Program, also known as Meaningful Use or Advancing Care Information

This program provides incentives for health care providers to use an EHR to document their patient care and requires that providers meet specific measures to get the incentives. 

Cancer case reporting is one of the measures providers can use to get incentives.  

Contact Us

Utah Cancer Registry

650 Komas Drive, Suite 106B
Salt Lake City, UT 84108

Phone: 801-581-8407
Fax: 801-581-4560