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STD Reporting Form Rev12-2016 doc

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The document is a confidential case report form for sexually transmitted diseases (STDs) used by Lane County Public Health. It collects personal information about the patient, including demographics, reason for examination, specific STDs tested (such as Chlamydia and Gonorrhea), treatment details, and partner information. The form emphasizes the importance of reporting cases to the local health department within one day as per regulations.

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Versions	Form popularity	Fillable & printable
2016	4.1 Satisfied (39 Votes)
2013	4 Satisfied (57 Votes)
2012	4.7 Satisfied (58 Votes)

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

What STD does not have to be reported?

Non-reportable STIs are: Genital . Human Papillomavirus (HPV) Pediculosis (Pubic Lice) Trichomoniasis.

Which STD is not reportable in all states?

T. vaginalis infection is not currently reportable in any US state.

Is chlamydia still reportable in California?

Note that Chlamydia trachomatis infections will continue to be reported by laboratories. Streptococcal Infections (Outbreaks of Any Type and Individual Cases in Food Handlers and Dairy Workers Only)

Is chlamydia reportable in all states?

Syphilis (including congenital syphilis), gonorrhea, chlamydia, chancroid, and HIV are reportable diseases in every state.

Is chlamydia nationally reported?

Case Rate Trends. Chlamydia is a reportable condition in all 50 states and the District of Columbia. Cases of chlamydia are voluntarily reported to the National Notifiable Diseases Surveillance System (NNDSS) at the Centers for Disease Control and Prevention (CDC) [13].

What STDs must be reported?

Which STDs Must Be Reported to the Health Department? Gonorrhea. Syphilis (infections, latent (early late), late stages congenital) Chlamydia. Chancroid. AIDS. HIV. Viral Hepatitis (A,B and C) Amebiasis.

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