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ELEVATED BLOOD LEAD ENVIRONMENTAL SURVEILLANCE FORM Name: Last Sex: F M First Race: WH DOB: / / MI Bl HS As OT Parent/Guardian Name: Phone: () Address where patient lives: Directions to patient s
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What is sex f - adph?
Sex f - adph stands for Sexually Transmitted Disease Report form.
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Healthcare providers and laboratories are required to file sex f - adph when they diagnose or detect a sexually transmitted disease in a patient.
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Sex f - adph can be filled out electronically or by hand, following the instructions provided on the form.
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The purpose of sex f - adph is to collect data on sexually transmitted diseases for public health monitoring and prevention efforts.
What information must be reported on sex f - adph?
Information such as patient demographics, type of sexually transmitted disease, date of diagnosis, and treatment information must be reported on sex f - adph.
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