Get the free STD 213 (CDPH Rev 12/12)

STATE OF CALIFORNIASTANDARD AGREEMENT STD 213 (CDPH Rev 12/12)REGISTRATION NUMBERCheck here if additional pages are added: 1.AGREEMENT NUMBER1210567page(s)This Agreement is entered into between the

How to fill out std 213 cdph rev

How to fill out std 213 cdph rev

1. Obtain a copy of the STD 213 CDPH Rev form from the official website or your local health department office.
2. Fill out the form with accurate and up-to-date information, including your personal details, medical history, and any relevant information related to sexually transmitted diseases.
3. Make sure to follow the instructions provided on the form and complete all sections accurately and legibly.
4. Review the completed form for any errors or missing information before submitting it to the appropriate health department or healthcare provider.

Who needs std 213 cdph rev?

1. Individuals who have been diagnosed with a sexually transmitted disease.
2. Healthcare providers who are required to report cases of sexually transmitted diseases to the public health authorities.

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What is std 213 cdph rev?

The STD 213 CDPH Rev is a form used to report communicable disease cases to the California Department of Public Health.

Who is required to file std 213 cdph rev?

Healthcare providers and laboratories are required to file STD 213 CDPH Rev when they have diagnosed or detected a communicable disease.

How to fill out std 213 cdph rev?

To fill out the STD 213 CDPH Rev form, the healthcare provider or laboratory must include specific information about the communicable disease case, such as the patient's demographics, symptoms, and test results.

What is the purpose of std 213 cdph rev?

The purpose of STD 213 CDPH Rev is to track and monitor communicable disease cases in California to prevent outbreaks and protect public health.

What information must be reported on std 213 cdph rev?

The STD 213 CDPH Rev form requires reporting of information such as the patient's name, age, gender, address, symptoms, test results, and the healthcare provider's contact information.