Get the free STI CASE INVESTIGATION FORM FOR CHLAMYDIA, GONORRHEA, CHANCROID AND LGV INFECTIONS

*CASE ACCESSION NUMBERADDITIONAL ACCESSION NUMBERS (COMMA SEPARATED)Health, Seniors and Active Living STI CASE INVESTIGATION FORM FOR CHLAMYDIA, GONORRHEA, ANDROID AND LGA INFECTIONS I. *CASE IDENTIFICATION1.

How to fill out sti case investigation form

How to fill out sti case investigation form

1. To fill out an STI case investigation form, follow these steps:
2. Start by providing your personal information such as your name, date of birth, and contact details.
3. Specify the type of STI you are reporting and any symptoms you are experiencing.
4. Include details about sexual partners or contacts who may have been exposed to the infection.
5. Answer questions related to your sexual history, including past partners and use of protection.
6. Provide information about any previous STI testing and treatment.
7. Attach any relevant medical documents or test results, if available.
8. Review the form and make sure all information is accurate and complete.
9. Sign and date the form to certify its authenticity.
10. Submit the completed form to the appropriate healthcare provider or authority responsible for STI case investigations.

Who needs sti case investigation form?

1. STI case investigation forms are needed by individuals who suspect they have a sexually transmitted infection (STI) and want to report their case for investigation.
2. Healthcare providers and authorities responsible for STI control and prevention also use these forms to gather information and track the spread of STIs.

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What is sti case investigation form?

STI case investigation form is a document used to collect information about individuals who may have been exposed to sexually transmitted infections (STIs) and to track and monitor the spread of infections.

Who is required to file sti case investigation form?

Healthcare providers, laboratories, and public health agencies are required to file STI case investigation forms.

How to fill out sti case investigation form?

The form can usually be filled out electronically or manually by providing detailed information about the individual's demographics, sexual history, symptoms, and test results.

What is the purpose of sti case investigation form?

The purpose of the STI case investigation form is to identify and notify individuals who may have been exposed to STIs, to provide them with necessary treatment and prevention information, and to collect data for surveillance and epidemiological purposes.

What information must be reported on sti case investigation form?

The form typically requires information such as the individual's name, contact information, demographic details, sexual partners, symptoms, test results, treatment history, and follow-up plans.