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Fax Page 1 To:Adapted from WA DOH Form 347102 CONFIDENTIAL SEXUALLY TRANSMITTED INFECTION CASE REPORT STIs within 3 work days (WAC 246101101/301) PATIENT INFORMATION LAST NAMEFIRST NAMEMIDDLE NAMED

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What is confidential sexually transmitted infection?

Confidential sexually transmitted infection refers to the reporting and tracking of sexually transmitted infections (STIs) in a manner that protects the identity and privacy of individuals diagnosed with these infections.

Who is required to file confidential sexually transmitted infection?

Healthcare providers and laboratories that diagnose or treat sexually transmitted infections are typically required to file confidential STI reports.

How to fill out confidential sexually transmitted infection?

To fill out a confidential STI report, one must gather patient information, diagnostic results, and relevant medical history, ensuring accuracy and confidentiality, and then submit it to the appropriate health department or agency.

What is the purpose of confidential sexually transmitted infection?

The purpose of confidential sexually transmitted infection reporting is to monitor and control the spread of STIs, ensure public health safety, and provide appropriate resources for treatment and prevention.

What information must be reported on confidential sexually transmitted infection?

Information that must be reported typically includes the patient's demographics, type of STI, date of diagnosis, treatment provided, and any related medical history.

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