Home
Forms Library
Florida confidential report of sexually transmitted diseases

Florida confidential report of sexually transmitted diseases 2025

florida confidential report of sexually transmitted diseases Preview on Page 1

See details

4.5 out of 5

39 votes

The document is a confidential report form for sexually transmitted diseases (STDs) in Florida, specifically for Orange, Osceola, Brevard, and Seminole counties. It includes sections for patient information, disease reporting requirements, treatment options, and contact details for health officials. The form emphasizes the importance of timely reporting and treatment of STDs to protect public health.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Florida Confidential Report of Sexually Transmitted Diseases

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open it in the editor.
Begin by entering the patient's name, date of birth (DOB), and Social Security Number (SSN) in the designated fields. Ensure that this information is accurate for proper identification.
Fill in the patient's address, phone number, and email. It's important to print legibly or use a label for clarity.
Indicate the patient's gender and pregnancy status by selecting the appropriate options. If pregnant, provide the estimated delivery date (EDD).
In the race and ethnicity sections, select from the provided options to ensure comprehensive reporting.
For each disease listed, check the relevant boxes based on diagnosis. Include collection dates and treatment dates as required.
If any treatments other than those recommended are used, note them in the specified area and remember to include a Test of Cure if necessary.

Start using our platform today to easily complete your Florida Confidential Report of Sexually Transmitted Diseases for free!

See more florida confidential report of sexually transmitted diseases versions

We've got more versions of the florida confidential report of sexually transmitted diseases form. Select the right florida confidential report of sexually transmitted diseases version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2023	4.5 Satisfied (39 Votes)
2013	4.5 Satisfied (59 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Do all STIs need to be reported?

If you suspect you may have a sexually transmitted infection, whether it is reportable or non-reportable, you should seek medical attention. Non-reportable STIs are: Bacterial Vaginosis (BV) Genital .

What STDs are reportable in Florida?

Bacterial STDs are comprised of three reportable STDs in Florida: chlamydia, gonorrhea, and syphilis. Most STDs affect both men and women, but in many cases the health problems they cause can be more severe for women.

Do you have to disclose STI status?

There arent any federal or state laws making it illegal for you to not tell a partner about an STD you may have. Laws on the topic vary from state to state. That being said, it is typically illegal, civilly and criminally, to knowingly or recklessly transmit an STD.

Does an STI have to be reported?

In the U.S., a diagnosed case of certain sexually transmitted infections (STIs) can trigger: reporting by the healthcare provider to the state/local government.

Do you have to disclose STDs in Florida?

Prior to having sexual intercourse with another person, an infected person must inform the other person of the presence of the sexually transmissible disease and obtain consent from the other person before engaging in sexual intercourse.

Do you have to declare an STD?

If tests show you have an STI, you should tell your current sexual partner, or partners, and any ex-partners so they can get tested and treated as well. If you do not want to do this, the clinic can usually do it for you without naming you.

Are sexually transmitted diseases reportable?

Within 7 days of identification: Gonorrhea, chlamydia including lymphogranuloma venerum (LGV), and chancroid. Reporting of STDs does not require patient consent and is not subject to the requirements of the Health Insurance Portability and Accountability Act (HIPAA).

Which STI must be reported to the CDC?

Surveillance information on the burden of STDs is used to inform public and private health efforts to control these diseases. Case data are available for nationally notifiable STDs, including chancroid, chlamydia, gonorrhea, and syphilis.

Florida confidential report of sexually transmitted diseases 2025

Here's how it works

How to use or fill out Florida Confidential Report of Sexually Transmitted Diseases