F-44243 - dhs wisconsin 2026

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  1. Click ‘Get Form’ to open the F-44243 - dhs wisconsin in the editor.
  2. Begin with Section A: Patient Demographic Information. Fill in the patient's last name, first name, middle initial, date of birth, age, gender, and pregnancy status. Ensure all fields are completed accurately.
  3. Proceed to Section B: Disease Classification Related to Diagnosis. Check the appropriate boxes for any suspected or confirmed diseases such as Syphilis or Chlamydia.
  4. In Section C: Laboratory Test(s) Related to Diagnosis, document each test performed on a new line. Include specimen source and test results clearly.
  5. Finally, complete Section D: Treatment (Rx) Information by checking all relevant treatments provided and including details about the attending physician and their contact information.

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All patients diagnosed with an STD are covered by patient confidentiality, and specially trained health department staff conduct contact tracing and partner notification while maintaining confidentiality.
Syphilis (including congenital syphilis), gonorrhea, chlamydia, chancroid, and HIV are reportable diseases in every state. Because the requirements for reporting other STIs differ by state, clinicians should be familiar with the reporting requirements applicable within their jurisdictions.
Legal Status of EPT in Wisconsin. EPT is permissible.

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The infection stays in your body until you finish the antibiotics. Your partner(s) should also get treated for chlamydia so you dont re-infect each other or anyone else. Dont have sex for 7 days. If you only have 1 dose of medication, wait for 7 days after you take it before having sex.
Human immunodeficiency virus (HIV)Find key information and public health guidance for the screening, diagnosis and treatment of: Chlamydia (including lymphogranuloma venereum) Gonorrhea. Genital herpes. Human papillomavirus (HPV) Mycoplasma genitalium. Syphilis.
Human immunodeficiency virus (HIV)Find key information and public health guidance for the screening, diagnosis and treatment of: Chlamydia (including lymphogranuloma venereum) Gonorrhea. Genital herpes. Human papillomavirus (HPV) Mycoplasma genitalium. Syphilis.
Expedited Partner Therapy (EPT) is the clinical practice of treating the sex partners of patients diagnosed with chlamydia or gonorrhea by providing prescriptions or medications to the patient to take to his/her partner without the health care provider first examining the partner.
Reportable STIs are: Chlamydia (Chlamydia trachomatis) Gonorrhea (Neisseria gonorrhoeae) Syphilis (Treponema pallidum) Chancroid (Haemophilus ducreyi) Pelvic Inflammatory Disease.

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