Cowlitz county std case report 2012 form-2025

1. Click ‘Get Form’ to open the Cowlitz County STD Case Report 2012 form in the editor.
2. Begin by filling out the 'Patient Information' section. Enter the patient's last name, first name, middle initial, address, telephone number, city/town, state, and ZIP code. Ensure accuracy as this information is crucial for confidentiality.
3. Next, provide details regarding the patient's diagnosis. Indicate the date of diagnosis and check the appropriate ethnicity and race boxes. This helps in understanding demographic trends.
4. In the 'Diagnosis – Disease' section, select all applicable STDs diagnosed. For each disease listed (e.g., Gonorrhea, Chlamydia), specify if it was lab confirmed and indicate any complications.
5. Complete the 'Treatment' section by checking all prescribed medications. Include dates for when prescriptions were given to ensure proper follow-up.
6. Fill out the 'Partner Management Plan' to outline how partners will be treated. This is essential for public health tracking and ensuring partner safety.
7. Finally, complete the 'Reporting Clinic Information' section with details about the diagnosing clinician and facility. Review all entries for accuracy before submission.

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