AK Confidential Sexually Transmitted Disease (STD)/HIV Report Form 2016 free printable template

Confidential Sexually Transmitted Disease (STD)/HIV Report Form State of Alaska, Section of Epidemiology Health care providers may use this form to make STD/HIV reports. Please use the Infectious

How to fill out AK Confidential Sexually Transmitted Disease STDHIV

How to fill out AK Confidential Sexually Transmitted Disease (STD)/HIV Report

1. Obtain the AK Confidential STD/HIV Report form from your healthcare provider or the official state health department website.
2. Fill in the patient's personal information, including their name, date of birth, and contact details.
3. Indicate the date of the diagnosis and the type of STD or HIV-related condition.
4. Provide information regarding the healthcare provider's details, including name, contact information, and facility address.
5. Include any relevant medical history or risk factors associated with the patient's condition.
6. Sign and date the report to certify the accuracy of the information provided.
7. Submit the completed form to the appropriate health department office as directed.

Who needs AK Confidential Sexually Transmitted Disease (STD)/HIV Report?

1. Healthcare providers and clinics that diagnose patients with STDs or HIV must complete the AK Confidential STD/HIV Report.
2. Public health officials require this report to monitor and control the spread of STDs and HIV within the community.
3. Patients may need reassurance that their confidentiality will be maintained when these reports are submitted.

Instructions and Help about AK Confidential Sexually Transmitted Disease STDHIV

Alaska insight is supported in part by the Corporation for Public Broadcasting and by viewers just like you thank your water and sewer infrastructure is a basic utility service for most of us but more than 60 years after statehood there are still communities in rural Alaska living without piped water how is public health effected when modern services are lacking we'll discuss it tonight on Alaska insight Music good evening imagine living in a town where only some residents have running water everyone else has to fetch water with a bucket that's been the reality in lower cal scag a village in western Alaska until now this year homes that have never had sinks or flushing toilets are getting hooked up KY UK's Greg Kim reports on how that's changing people's lives lower Cal Stages bill Walker a plumber from Anchorage is working on transforming this house from a one-room home to a 2 RT camera off now has a bathroom for years his toilet has been a five-gallon bucket called tom Finney bucket now he has a flushing toilet and running water and according to studies by the Centers for Disease Control and the Alaska Native Tribal Health consortium Artie and his family will likely live healthier lives and contract fewer infectious diseases they say the health improvement comes from washing hands and bathing more often but Peter Nook lead construction worker on the water installation project says people are washing more than just their own bodies we went in this one house as soon as the water came on oh my god some of them they would just start cleaning up their house right now especially their bathrooms are underneath their sink you know they start cleaning up right now because they want to use the tub do you want to be able to use their toilet they're just so happy about it about a third of lower cows CAG is getting running water installed for the first time it's taken 12 years for the village to find the funding then design and build the system by spring everyone that wants to be piped water and sewer will have it Roseann savage says that will save her a lot of arguments with her kids I always tell them okay you need to use the bathroom please go to mom and dad's and use the bathroom everyone's so lazy to dump the honey bucket there's a path between Roseanne's home and her mom's Rosanna and her kids used her mom's house as their own bathroom and watering Hall, but she says that took a lot of time people here say they used to spend about an hour a day hauling water and honey buckets back and forth I think they're living a lot happier lives you know doing something else besides worrying about packing water or running out of water having to dump their honey buckets Peter is getting running water installed for the first time in his home too he says he'll spend his extra time with his family or outside engaging in subsistence activities in lower Cal scag I'm Gregg Kim I guess tonight our John Nichols John is the rural utility management services director at the...

People Also Ask about

What are the five 5 most common communicable diseases?

Common Infectious Diseases Chickenpox. Common cold. Diphtheria. E. coli. Giardiasis. HIV/AIDS. Infectious mononucleosis. Influenza (flu)

Which is the most common reportable infectious disease?

Most Common Infectious Diseases in the U.S. Chlamydia. 1/15. This sexually transmitted disease affects men and women. Influenza A and B. 2/15. Sudden fever and chills, muscle aches, headache, tiredness, sore throat, congestion. Staph. 3/15. E. Coli. Herpes Simplex 1. 5/15. Herpes Simplex 2. 6/15. Shigellosis. 7/15. Syphilis. 8/15.

What are the 5 reportable diseases?

Hepatitis C. HIV infection. Influenza-related infant deaths. Invasive pneumococcal disease.

What diseases are required to be reported?

Annual Summaries of Notifiable Diseases Cholera. Cryptosporidiosis. Cyclosporiasis. Giardiasis. Hepatitis A. Legionellosis. Malaria* Salmonellosis.

What are the 5 main diseases?

What are the 10 most common diseases? Heart Disease. Cancer. Chronic Respiratory Diseases. Obesity. Alzheimer's Disease. Diabetes. Substance Abuse. Infectious Diseases.

What are examples of reportable diseases?

Annual Summaries of Notifiable Diseases Cholera. Cryptosporidiosis. Cyclosporiasis. Giardiasis. Hepatitis A. Legionellosis. Malaria* Salmonellosis.

How do I report a communicable disease in Alaska?

Further assistance may be obtained by calling the Section of Epidemiology at (907) 269-8000.

What is 1 800 478 0084?

Reporting by Phone After business hours, public health emergencies or urgent concerns should be reported by calling 1-800-478-0084.

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What is AK Confidential Sexually Transmitted Disease (STD)/HIV Report?

The AK Confidential Sexually Transmitted Disease (STD)/HIV Report is a document used for the confidential reporting of cases of sexually transmitted diseases and HIV infections in Alaska. It is designed to help monitor and control the spread of these infections.

Who is required to file AK Confidential Sexually Transmitted Disease (STD)/HIV Report?

Healthcare providers, including physicians, nurse practitioners, and laboratories, are required to file the AK Confidential Sexually Transmitted Disease (STD)/HIV Report for patients diagnosed with STDs or HIV.

How to fill out AK Confidential Sexually Transmitted Disease (STD)/HIV Report?

To fill out the AK Confidential Sexually Transmitted Disease (STD)/HIV Report, provide patient information such as name, contact details, diagnosis, and testing results accurately in the designated fields on the form.

What is the purpose of AK Confidential Sexually Transmitted Disease (STD)/HIV Report?

The purpose of the AK Confidential Sexually Transmitted Disease (STD)/HIV Report is to collect data on STD and HIV cases, which aids public health officials in monitoring trends, implementing prevention strategies, and providing necessary resources and treatment.

What information must be reported on AK Confidential Sexually Transmitted Disease (STD)/HIV Report?

Information that must be reported includes patient demographics (such as age, gender, and race), diagnosis, date of diagnosis, laboratory results, and any treatment provided for STDs or HIV.