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FAX Page 1 To: Ferry County/NE County Health District 5097752858 (Confidential FAX Line) Adapted from WA DOH Form 347102 CONFIDENTIAL SEXUALLY TRANSMITTED DISEASE CASE REPORT STDs within three work

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How to fill out ferry county confidential sexually

01

Step 1: Obtain the Ferry County Confidential Sexually Transmitted Disease (STD) Report Form from the local health department.

02

Step 2: Fill out your personal information such as your name, date of birth, and contact details.

03

Step 3: Provide accurate details of any sexually transmitted diseases you have been diagnosed with, including the dates of diagnosis and treatment.

04

Step 4: Include information about any sexual partners you may have had, their contact details, and whether or not they have been informed of potential exposure to STDs.

05

Step 5: Answer any additional questions on the form regarding your sexual history, recent sexual activities, or high-risk behaviors.

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Step 6: Review the completed form for accuracy and completeness.

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Step 7: Sign and date the form.

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Step 8: Submit the filled-out Ferry County Confidential Sexually Transmitted Disease Report Form to the local health department or designated drop-off location.

Who needs ferry county confidential sexually?

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Anyone residing or visiting Ferry County who has been diagnosed with or suspects they may have a sexually transmitted disease.

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Healthcare professionals, including doctors, nurses, and clinical staff, who need accurate and confidential information about patients' STD diagnoses and potential exposure to effectively provide treatment and prevent further spread of infections.

03

Local health departments and public health agencies responsible for tracking and monitoring STD cases within Ferry County and taking appropriate measures to safeguard public health.

04

Individuals who have had recent sexual contact with someone diagnosed with an STD, as they may need to provide information to the health authorities for contact tracing and testing purposes.

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Research organizations and institutions conducting studies on sexually transmitted diseases in Ferry County, who may require this data for epidemiological analysis and program development.

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