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STI Reporting Form Please complete the following information and fax to the Shiawassee County Health Department (SCUD) at 9897202548 (confidential/secure fax line). Patient Name: ___ Date of Birth:

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How to fill out sti reporting form

01

Obtain the STI reporting form from your local health department or online.

02

Fill out personal information such as name, date of birth, and contact information.

03

Provide details about the STI diagnosis, including type of infection and date of diagnosis.

04

Include information about any treatment or medication received for the STI.

05

Submit the completed form to the appropriate health department or healthcare provider.

Who needs sti reporting form?

01

Healthcare providers

02

Laboratories

03

Public health departments

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What is sti reporting form?

The STI reporting form is a document used to report sexually transmitted infections.

Who is required to file sti reporting form?

Healthcare professionals and facilities are required to file the STI reporting form.

How to fill out sti reporting form?

The STI reporting form can be filled out online or submitted in person at a healthcare facility.

What is the purpose of sti reporting form?

The purpose of the STI reporting form is to track and monitor cases of sexually transmitted infections for public health purposes.

What information must be reported on sti reporting form?

The STI reporting form typically requires information such as the type of infection, demographics of the individual, and treatment provided.

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