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Confidential sexually transmitted disease (std) case report - Health

Confidential sexually transmitted disease (std) case report - Health 2025

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The document is a confidential sexually transmitted disease (STD) case report form adapted from the Washington State Department of Health. It outlines the necessary patient information, diagnosis details for various STDs (including gonorrhea, chlamydia, syphilis, and herpes), treatment options, and partner management plans. The form emphasizes the importance of reporting STDs within three working days and maintaining confidentiality in handling patient information.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'Patient Information' section. Enter the patient's last name, first name, middle initial, address, city, email address, telephone number, and date of diagnosis. Ensure all fields are completed accurately.
In the 'Diagnosis—Disease' section, select the appropriate STD diagnosis from the options provided. Indicate if it is lab confirmed and specify any complications or sites affected.
Complete the 'Partner Management Plan' by selecting how partner treatment will be managed. This includes indicating whether partners will be treated directly or if they will receive medication prescriptions.
Finally, fill out the 'Reporting Clinic Information' section with details about the diagnosing clinician and facility. Make sure to include contact information for follow-up.

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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.

Is an STD test confidential?

Getting tested and treated for sexually transmitted infections (STIs) is straightforward and confidential. Most infections can be cured. A sexual health clinic (SHC) or genitourinary medicine (GUM) clinic specialises in sexual health, and can provide tests and treatment for many STIs.

How long can STDs hide in your body?

The upshot is that its possible for some not all STDs to go away by themselves, but its also possible for STDs to persist for months, years, or the rest of your life. If you could have been exposed to an STD, the best thing to do is get tested not to hope that if you did get something, itll just go away.

What diseases have to be reported to the health department?

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.

Are STI results confidential?

By law, the details of what occurs during an STI test are kept confidential. This means there is no need to be concerned about anyone discovering the specifics of your test. Notably, your STI test results are not displayed on your Medicare records, offering an additional layer of privacy protection.

Are STD test results confidential?

Reporting can be provider based, laboratory based, or both. Clinicians who are unsure of state and local reporting requirements should seek advice from state or local health department STI programs. STI and HIV reports are kept confidential. In most jurisdictions, such reports are protected by statute or regulation.

Are STI checks anonymous?

Testing for STIs Auckland Sexual Health services are confidential. Your personal details will not be given to anybody without your consent.

What happens if you dont disclose an STD?

In a civil context, the perpetrator may be held liable for damages. If found guilty, they could be required to pay a significant sum to the victim. In a criminal context, intentional transmission of certain STDs is considered a felony in California, which could lead to imprisonment.

Are STD results public record?

Testing for STDs is confidential, easy and convenient.

Confidential sexually transmitted disease (std) case report - Health 2025

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