Get the up-to-date california syphilis reporting form 2024 now

Get Form
california syphilis reporting form Preview on Page 1

Here's how it works

01. Edit your form online
01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
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
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 edit California syphilis reporting form in PDF format online

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2

Adjusting documents with our feature-rich and user-friendly PDF editor is easy. Follow the instructions below to complete California syphilis reporting form online easily and quickly:

  1. Sign in to your account. Log in with your email and password or register a free account to test the service before upgrading the subscription.
  2. Import a document. Drag and drop the file from your device or add it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
  3. Edit California syphilis reporting form. Easily add and highlight text, insert pictures, checkmarks, and signs, drop new fillable fields, and rearrange or remove pages from your document.
  4. Get the California syphilis reporting form completed. Download your modified document, export it to the cloud, print it from the editor, or share it with others using a Shareable link or as an email attachment.

Take advantage of DocHub, the most straightforward editor to rapidly handle your documentation online!

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.
Contact us
As a provider, you need to be aware that all 50 states require that syphilis cases be reported to the state or local public health agency so that it can take action to find and treat exposed persons.
​​​​​​​Confidential Morbidity Report (CMR) forms for reporting communicable diseases, tuberculosis, loss of consciousness or control, and animal patients are provided below.
The Confidential Morbidity Report (CMR) is the form used to report most diseases and other conditions to the Public Health Department. Other CMR forms are available to report suspected cases of tuberculosis and conditions reportable to the California Department of Motor Vehicles.
Reportable Sexually Transmitted Infections The local health department is required by state law to make efforts to contact individuals who have been diagnosed with sexually transmitted infections to help prevent the further passage of the infection through intervention, consultation and disease surveillance.
California State law requires many communicable diseases to be reported to the local health department (Reportable Diseases and Conditions). Among them are the following STDs: Gonorrhea. Syphilis (infections, latent (early late), late stages congenital)
be ready to get more

Complete this form in 5 minutes or less

Get form

People also ask

PLEASE NOTE: Use this form for reporting lapses of consciousness, Alzheimers disease or other conditions which may impair the ability to operate a motor vehicle safely (pursuant to HS 103900). State of CaliforniaHealth and Human Services Agency. California Department of Public Health.
CMR Document meaning The term CMR stands for Convention on the Contract for the International Carriage of Goods by Road. A CMR note is a document thats used to standardize the conditions of international road transport.
✓ Obtain and complete a Confidential Morbidity Report (CMR) form: Visit: or call 213-741-8000 to obtain a form. Complete on-line and print or complete by hand.

Related links