Form preview

HI STD Case Report 2013-2025 free printable template

Get Form
For official use only: Case No: DIS# STATE OF HAWAII Department of Health STD MIS INTERVIEW FIELD CONTACT Follow-up STD/AIDS Prevention Program Sexually Transmitted Diseases (STD) Case Report Please
pdfFiller is not affiliated with any government organization
4,4
98,753 Reviews
4,5
11,210 Reviews
4,6
715 Reviews
4,6
789 Reviews

Get, Create, Make and Sign HI STD Case Report

Edit
Edit your HI STD Case Report form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your HI STD Case Report form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing HI STD Case Report online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use the services of a skilled PDF editor, follow these steps below:
1
Sign into your account. In case you're new, it's time to start your free trial.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit HI STD Case Report. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
Dealing with documents is simple using pdfFiller. Try it right now!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
Learn more about security & compliance
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out HI STD Case Report

Illustration

How to fill out HI STD Case Report

01
Gather patient information including personal details such as name, date of birth, and contact information.
02
Document the patient's medical history, including any previous STDs and treatments received.
03
Include details regarding the current STD diagnosis, including type, date of diagnosis, and laboratory results.
04
Record any symptoms the patient is experiencing and their severity.
05
List any treatments prescribed, including dosages and duration.
06
Note any follow-up appointments or referrals to specialists.
07
Ensure all information is accurate and complete before submission.

Who needs HI STD Case Report?

01
Healthcare professionals involved in the treatment and care of patients with STDs.
02
Public health officials for tracking and controlling the spread of STDs.
03
Researchers studying STD prevalence and treatment outcomes.
04
Insurance companies for billing and reimbursement purposes.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.8
Satisfied
119 Votes

People Also Ask about

Reportable STIs are: Chlamydia (Chlamydia trachomatis) Gonorrhea (Neisseria gonorrhoeae) Syphilis (Treponema pallidum)
The STD 43 is a single page form to report newly diagnosed, re-infected, and treated STDs with the exception of HIV/AIDS. INSTRUCTIONS FOR COMPLETING the STD 43: Use one (1) form per person to report all applicable STDs. PLEASE Print legibly.
Reporting Guidelines If you are a practitioner, you should report diagnosis of a sexually transmitted disease (with the exception of HIV/AIDS) to your local health office or complete the Disease Report Form and fax it along with a copy of the lab to 850-414-8103.
Sexually transmitted diseases (STDs) are infections transmitted from an infected person to an uninfected person through sexual contact. STDs can be caused by bacteria, viruses, or parasites. Examples include gonorrhea, genital herpes, human papillomavirus infection, HIV/AIDS, chlamydia, and syphilis.
Notifying sexual partner(s) of a positive test result is usually done by: doctor who makes the diagnosis. patient themselves. Let Them Know email, text message or letter.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Add pdfFiller Google Chrome Extension to your web browser to start editing HI STD Case Report and other documents directly from a Google search page. The service allows you to make changes in your documents when viewing them in Chrome. Create fillable documents and edit existing PDFs from any internet-connected device with pdfFiller.
Install the pdfFiller iOS app. Log in or create an account to access the solution's editing features. Open your HI STD Case Report by uploading it from your device or online storage. After filling in all relevant fields and eSigning if required, you may save or distribute the document.
Use the pdfFiller Android app to finish your HI STD Case Report and other documents on your Android phone. The app has all the features you need to manage your documents, like editing content, eSigning, annotating, sharing files, and more. At any time, as long as there is an internet connection.
The HI STD Case Report is a standardized form used to report cases of sexually transmitted diseases (STDs) to public health authorities for surveillance and control purposes.
Healthcare providers, including physicians and clinics, are required to file the HI STD Case Report for any confirmed cases of STDs as mandated by health regulations.
To fill out the HI STD Case Report, healthcare providers must complete all required sections accurately, including patient demographics, clinical information, lab results, and any relevant risk factors.
The purpose of the HI STD Case Report is to track the incidence and prevalence of STDs, facilitate public health interventions, and inform preventive measures in the community.
The HI STD Case Report must include patient identifying information, diagnosis dates, type of STD, laboratory results, treatment provided, and any relevant epidemiological data.
Fill out your HI STD Case Report online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview

HI STD Case Report is not the form you're looking for?Search for another form here.

Related Features

Copy Date in the Mnda with ease
Copy Date in the Proposal with ease
Copy Date in the Log with ease
Copy Date in the Claim with ease
Copy Date in the Letter with ease

Relevant keywords

2010 HAWAII PID cephalosporin Rx Benzathine Dx TRACHOMATIS q4hrs CDC Flouroquinolone Neurosyphilis Maui tid wks Umi SPP STDs Molokai Lihue x3d 1-week Oahu CHANCROID HIV Wailuku

Related Forms

Form preview
In re OmniVision Technologies, Inc. 04-CV-2297-Stipulation To Extend T
1 2 3 4 5 6 7 8 9 10 11 12douglas j. clark, state
Fill Now
Form preview
Issuer Tender Offer Statement - SEC.gov
Securities and exchange commissionwashington, dc 20549schedule totender offer statement under section 14(d)(1) or 13(e)(1)of the
Fill Now
Form preview
TESRS Form 610 (Designation of Alternate Participating Department Head
Texas emergency services retirement system form 610 designation of alternate participating department head 1. enter
Fill Now
Form preview
Using the Import Wizard :: Data Import and Export (Programming)
Creating organizations in the aclu use the import data wizard to create organizations and assign
Fill Now
Form preview
Voluntary Disclosure in India - Expert BlogExpert Blog
Kpmg flash newskpmg in india24 september 2015government of india decides that minimum alternate tax shall
Fill Now
Form preview
AZ Affidavit of Shared Residency - Mesa Public Schools
Alternate lease statement name of the student semester lastfirstmi. student id # day tel #
Fill Now
Form preview
STATEMENT OF EXCLUSION OF RESPONSIBILITY of Zipline ...
Statement of exclusion of responsibilityof zip line activity1. i declare that i voluntarily and exclusively
Fill Now
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.