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FAX Page 1 To: Whatcom County Health Department 360-676-7646 (Confidential FAX Line) Adapted from WA DOH Form 347-102 CONFIDENTIAL SEXUALLY TRANSMITTED DISEASE CASE REPORT STDs within three work days
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How to fill out whatcom county confidential sexually
How to fill out Whatcom County confidential sexually?
Obtain the necessary forms:
01
Visit the Whatcom County website or go to the local health department to download or acquire the confidential sexually transmitted disease reporting forms.
02
Ensure you have the most recent version of the forms to accurately provide the required information.
Gather accurate information:
01
Collect all the necessary details about the sexually transmitted disease you are reporting.
02
This may include the type of infection, the date of diagnosis, and any relevant medical documentation or test results.
03
Ensure you have the correct spelling of medical terms and the names of prescribed medications, if applicable.
Complete the personal information section:
01
Fill in your personal details, such as your name, address, phone number, and date of birth.
02
Provide accurate contact information so that Whatcom County health officials can reach you if needed.
Provide details about the sexually transmitted disease:
01
Fill in the specific information about the sexually transmitted disease you are reporting.
02
Include the type of infection, the date of diagnosis, and any additional relevant information requested.
03
Be as detailed and accurate as possible to ensure proper analysis and follow-up by health officials.
Include any necessary medical documentation:
01
Attach any relevant medical documents, test results, or prescriptions that support your reporting.
02
Make sure to include copies rather than original documents, as they will not be returned.
Review and sign the form:
01
Go through the completed form to ensure all information is accurate and legible.
02
Sign and date the form at the appropriate section to authenticate your submission.
Who needs Whatcom County confidential sexually?
Individuals diagnosed with a sexually transmitted disease in Whatcom County:
01
If you have been diagnosed with a sexually transmitted disease, it is essential to complete the Whatcom County confidential sexually transmitted disease reporting forms.
02
This ensures that your infection is properly documented and allows health officials to monitor and track the disease's prevalence within the county.
Healthcare providers and medical professionals:
01
Healthcare providers are responsible for reporting cases of sexually transmitted diseases to the appropriate health department.
02
By using the Whatcom County confidential sexually transmitted disease reporting forms, healthcare providers contribute to the overall monitoring and surveillance of sexually transmitted infections in the county.
Whatcom County health officials:
01
Whatcom County health officials need access to accurate and timely information regarding sexually transmitted diseases to effectively monitor and respond to outbreaks, implement prevention strategies, and provide appropriate healthcare services.
02
The Whatcom County confidential sexually transmitted disease reporting forms allow health officials to track the occurrence and distribution of infections, identify trends, and allocate resources.
Note: It is important to consult the official resources of Whatcom County or consult with healthcare professionals for the most up-to-date and accurate information on how to fill out the specific forms.
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What is whatcom county confidential sexually?
Whatcom County Confidential Sexually Transmitted Disease (STD) Reporting is a program that requires healthcare providers to report certain STD cases to the Whatcom County Health Department.
Who is required to file whatcom county confidential sexually?
Healthcare providers including physicians, laboratories, and other healthcare professionals are required to file Whatcom County Confidential Sexually Transmitted Disease reports.
How to fill out whatcom county confidential sexually?
Healthcare providers can fill out Whatcom County Confidential Sexually Transmitted Disease reports online through the Whatcom County Health Department website or by submitting paper forms.
What is the purpose of whatcom county confidential sexually?
The purpose of Whatcom County Confidential Sexually Transmitted Disease Reporting is to monitor and track STD cases in the county in order to prevent the spread of diseases and provide appropriate treatment.
What information must be reported on whatcom county confidential sexually?
Healthcare providers must report demographic information of the patient, type of STD, treatment provided, and other relevant information required by the Whatcom County Health Department.
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