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PARTNER NOTIFICATION REFERRAL TO HEALTH ADVISORS FROM GP PRACTICE (Chlamydia only) PLEASE FAX DETAILS TO HEALTH ADVISORS ON 0191 229 2982 GP Practice: Tel: Name: D.O.B. Address: Postcode: Gender:
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How to fill out partner notification referral to

How to Fill Out a Partner Notification Referral:
01
Start by obtaining the necessary form or referral documents from your local health department or healthcare provider.
02
Begin by filling in your personal information such as your name, address, phone number, and any other requested demographic details.
03
Identify the person who will be receiving the partner notification. Provide their name, contact information, and any additional relevant details like their relationship to you or their last known location.
04
Indicate the reason for the partner notification referral. This could be due to a positive test result for a sexually transmitted infection (STI) or other health condition that requires partner notification.
05
Provide any specific details or instructions regarding the partner's healthcare or testing needs, if applicable. This may include information on where they can seek testing or treatment options.
06
Complete any additional sections or forms as required. Some referral documents may ask for further information about sexual history, recent partners, or potential exposure risk factors.
07
Review the completed referral form for accuracy and make sure all necessary sections have been filled out.
08
Sign and date the referral form as required.
09
Submit the partner notification referral to the designated recipient, which may be your healthcare provider or local health department.
10
Follow up with the recipient or healthcare provider to ensure that the referral has been received and processed.
Who Needs Partner Notification Referral To:
01
Individuals who have received a positive test result for a sexually transmitted infection (STI) or other communicable disease may need to complete a partner notification referral.
02
People who have been identified as potentially having exposed their sexual partners to an STI or other health condition may also be required to fill out a partner notification referral.
03
Healthcare providers or public health officials may request a partner notification referral from someone who has been diagnosed with a reportable infection to ensure that their partners receive appropriate testing, treatment, and information to prevent further transmission.
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What is partner notification referral to?
Partner notification referral is a process where individuals are encouraged to alert their partners about potential exposure to a sexually transmitted infection (STI).
Who is required to file partner notification referral to?
Healthcare providers are typically required to file partner notification referrals when a patient has been diagnosed with an STI.
How to fill out partner notification referral to?
To fill out a partner notification referral, healthcare providers can utilize secure online portals, fax forms, or telephone notifications.
What is the purpose of partner notification referral to?
The purpose of partner notification referral is to inform potentially exposed individuals of their risk, encourage testing and treatment, and prevent further spread of STIs.
What information must be reported on partner notification referral to?
Information reported on a partner notification referral typically includes the diagnosed STI, the date of diagnosis, and instructions for partners to seek testing and treatment.
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