How to use or fill out std report with our platform
- Click ‘Get Form’ to open the STD report 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, and telephone number.
- Next, provide the 'Date of Diagnosis' by selecting the month, day, and year. Indicate the patient's ethnicity and sex by checking the appropriate boxes.
- Complete the 'Diagnosis—Disease' section by selecting the relevant STD diagnosis from options like Gonorrhea or Chlamydia. Ensure to check all applicable sites where tests were conducted.
- In the 'Partner Management Plan' section, select how partner treatment will be managed. You can choose between in-person evaluation or patient-delivered treatment.
- Finally, fill out the 'Reporting Clinic Information' with details about the diagnosing clinician and facility. Ensure all information is accurate before submitting.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2015 | 4.8 Satisfied (80 Votes) |
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