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The document is a confidential sexually transmitted disease (STD) case report form from the Cowlitz County Health Department, adapted from Washington State Department of Health guidelines. It outlines the necessary patient information, diagnosis details for various STDs (including gonorrhea, chlamydia, syphilis, and herpes), treatment options, and partner management plans. The form emphasizes the importance of reporting STDs within three working days and maintaining confidentiality in handling patient information.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (46 Votes)
2016	4.3 Satisfied (81 Votes)
2012	4 Satisfied (40 Votes)

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