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Ventura County Public HealthCommunicable Disease ProgramSEXUALLY TRANSMITTED INFECTION CONFIDENTIAL MORBIDITY REPORTPLEASE NOTE: Use this form for reporting only Sexually Transmitted Infections. For
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How to fill out sexually transmitted infection

01
Gather necessary information and forms: Make sure you have access to the STI form and any other required documents.
02
Provide accurate personal information: Fill out your full name, date of birth, contact information, and any other requested personal details.
03
Answer medical history questions honestly: Provide information about any past or current STIs, sexual partners, and any symptoms or concerns you may have.
04
Follow instructions for specimen collection: If required, follow the instructions on how to collect and store your specimen for testing.
05
Submit the form: Once you have completed all the necessary sections, submit the form to the appropriate healthcare provider or testing center.
06
Follow up as directed: Depending on the specific STI form, you may need to follow up with additional appointments or tests as directed.
07
Maintain confidentiality: Remember to keep your personal information and test results confidential to protect your privacy.

Who needs sexually transmitted infection?

01
Anyone who is sexually active can potentially benefit from getting tested for sexually transmitted infections (STIs).
02
People who have had unprotected sex or engaged in high-risk sexual behaviors, such as multiple partners or intravenous drug use, may have an increased risk of contracting an STI and should get tested.
03
Individuals who are experiencing symptoms of an STI, such as genital itching, discharge, sores, pain or burning during urination, should seek testing and medical advice.
04
It is also recommended for individuals starting a new sexual relationship or planning to become sexually active to get tested for STIs as a preventive measure.
05
Pregnant women should be routinely tested for certain STIs to protect their own health and the health of their unborn child.
06
Ultimately, it is important for everyone to understand their sexual health status and take appropriate steps to prevent and treat STIs.
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A sexually transmitted infection (STI) is an infection that is primarily transmitted through sexual contact, including vaginal, anal, and oral sex. Common STIs include chlamydia, gonorrhea, syphilis, and HIV.
Healthcare providers are typically required to report cases of sexually transmitted infections to public health authorities. This may include doctors, nurses, and laboratories.
To fill out a sexually transmitted infection report, healthcare providers need to collect specific patient information, including demographics, clinical details, and laboratory results, and then submit this information to the appropriate public health agency.
The purpose of reporting sexually transmitted infections is to monitor public health trends, implement control measures, and ensure proper management and treatment of affected individuals.
The information that must be reported typically includes patient demographics, the type of STI, date of diagnosis, any treatment administered, and laboratory results.
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