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24 et seq. includes herpes herpes simplex human papilloma virus wart genital wart condyloma Chlamydia non-specific urethritis syphilis VDRL chancroid lymphogranuloma venereuem HIV Human Immunodeficiency Virus AIDS Acquired Immunodeficiency Syndrome and gonorrhea. Yes No I authorize the release of my STD results HIV/AIDS testing whether negative or positive to the person s listed above. This includes but is not limited to coinsurance copayment deductible and non- covered services....
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What is sexmfagebirthdatesinglemarriedwidowedseparateddivorced?
This refers to the marital status options that can be indicated on a form or application.
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Individuals filling out a form or application that requires listing their marital status.
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To provide information about an individual's current marital status.
What information must be reported on sexmfagebirthdatesinglemarriedwidowedseparateddivorced?
The individual's current marital status, such as single, married, widowed, separated, or divorced.
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