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2011 CA CDPH 110a (Formerly PM 110)

2011 CA CDPH 110a (Formerly PM 110)-2025

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The document is a confidential morbidity report form from the California Department of Public Health, designed for reporting various diseases except Tuberculosis and those reportable to DMV. It collects detailed patient information including demographics, disease specifics, treatment details, and exposure history related to sexually transmitted diseases (STDs) and viral hepatitis.

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Click ‘Get Form’ to open the 2011 CA CDPH 110a in our editor.
Begin by filling out the 'Patient Name' section, including last name, first name, and middle initial. Ensure accuracy as this information is crucial for identification.
Complete the 'Home Address' fields, including street number, city, state, and ZIP code. This helps in locating the patient for follow-up.
Indicate the patient's primary language and demographic details such as age, gender, and ethnicity. Use checkboxes for race and occupational exposure settings as applicable.
Fill in the dates related to diagnosis and specimen collection accurately. This information is vital for tracking disease progression.
For sexually transmitted diseases (STDs), provide treatment details and test results in the respective sections. Be thorough to ensure proper reporting.
Review all entered information for completeness before submitting. Utilize our platform's features to save your progress or share it with colleagues if needed.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (140 Votes)
2019	4.1 Satisfied (48 Votes)
2018	4.2 Satisfied (53 Votes)
2011	4.4 Satisfied (71 Votes)
2009	4.1 Satisfied (69 Votes)
2008	4.7 Satisfied (41 Votes)
2005	4.4 Satisfied (32 Votes)

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Do you report STDs to the CDC?

STD control programs in state, local, and territorial health departments collect case reports of nationally notifiable STDs using case definitions developed by the Council of State and Territorial Epidemiologists and voluntarily provide data to CDC for national surveillance efforts.

Does chlamydia need to be reported?

Chlamydia trachomatis and Neisseria gonorrhoeae are the most common sexually transmitted infections (STIs) in the United States and are required to be reported to state health departments.

Is hep C notifiable disease?

CDC recommends universal hepatitis C screening for all adults 18 and older and all pregnant women during each pregnancy. CDC recommends testing people in certain high-risk groups more frequently. Testing, diagnosis, and timely treatment can prevent hepatitis C complications and interrupt transmission.

Is Hep C reportable to public health?

To identify whether the case may be a source of infection for other persons, and if so, to prevent future transmission. 1. All diagnoses of acute hepatitis C are reportable by physicians to the Local Health Department (LHD) within one working day of diagnosis.

Is chlamydia still reportable in California?

Chlamydia trachomatis infections, including lymphogranuloma venereum (LGV). Note that Chlamydia trachomatis infections will continue to be reported by laboratories.

What infections need to be reported to public health?

Diseases reportable to the CDC include: Anthrax. Arboviral diseases (diseases caused by viruses spread by mosquitoes, sandflies, ticks, etc.) such as West Nile virus, eastern and western equine encephalitis. Babesiosis. Botulism. Brucellosis. Campylobacteriosis. Cancer. Candida auris, clinical.

Which hepatitis needs to be reported?

Viral hepatitis infections under surveillance by the CDC include hepatitis A, hepatitis B (acute, chronic, and perinatal), and hepatitis C (acute, chronic, and perinatal).

2011 CA CDPH 110a (Formerly PM 110)-2025

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Got questions?

Do you report STDs to the CDC?

Does chlamydia need to be reported?

Is hep C notifiable disease?

Is Hep C reportable to public health?

Is chlamydia still reportable in California?

People also ask

What infections need to be reported to public health?

Which hepatitis needs to be reported?

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2011 CA CDPH 110a (Formerly PM 110)-2025

Here's how it works

How to use or fill out 2011 CA CDPH 110a (Formerly PM 110) with DocHub

See more 2011 CA CDPH 110a (Formerly PM 110) versions

Complete this form in 5 minutes or less

Got questions?

Do you report STDs to the CDC?

Does chlamydia need to be reported?

Is hep C notifiable disease?

Is Hep C reportable to public health?

Is chlamydia still reportable in California?

Related Searches

People also ask

What infections need to be reported to public health?

Which hepatitis needs to be reported?

Related links

Try more PDF tools