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FAX Page 1 To: Ch LAN/Douglas County Health Department 509-886-6478 (Confidential FAX Line) Adapted from WA DOH Form 347-102 CONFIDENTIAL SEXUALLY TRANSMITTED DISEASE CASE REPORT TO: FROM: Ch LAN/Douglas

How to fill out confidential sexually transmitted disease

How to fill out confidential sexually transmitted disease:

1. Gather all necessary personal information, such as name, date of birth, and contact information.
2. Provide detailed information about any symptoms experienced, including the type and duration of symptoms.
3. List any previous diagnoses or treatments for sexually transmitted diseases.
4. Answer questions about sexual history, including the number of partners and any risky behaviors.
5. Include information about any current sexual partners and their contact information, if known.
6. Provide any additional relevant medical history or information that may be helpful for diagnosis or treatment.

Who needs confidential sexually transmitted disease:

1. Individuals who suspect they may have been exposed to a sexually transmitted disease.
2. Those seeking diagnosis, treatment, or prevention strategies for sexually transmitted diseases.
3. Healthcare providers who are managing the care of patients with sexually transmitted diseases.

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What is confidential sexually transmitted disease?

Confidential sexually transmitted disease refers to a sexually transmitted infection that is legally required to be reported to public health authorities while maintaining the privacy of the infected individual.

Who is required to file confidential sexually transmitted disease?

Healthcare providers, such as doctors, nurses, and laboratories, are required to file confidential sexually transmitted disease reports.

How to fill out confidential sexually transmitted disease?

Confidential sexually transmitted disease reports can be filled out by collecting relevant information about the infected individual, such as their name, demographics, sexual partners, symptoms, and test results. This information is then submitted to the designated public health authorities.

What is the purpose of confidential sexually transmitted disease?

The purpose of confidential sexually transmitted disease reporting is to track the prevalence and trends of sexually transmitted infections, develop effective public health interventions, ensure appropriate treatment and follow-up for infected individuals, and protect public health.

What information must be reported on confidential sexually transmitted disease?

Confidential sexually transmitted disease reports typically require information such as the infected individual's name, demographics, sexual partners, symptoms, test results, and any related risk factors.