Std report 2026

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4.8 out of 5

80 votes

The document is a confidential case report form for sexually transmitted diseases (STDs) adapted from the Washington State Department of Health. It outlines the necessary patient information, diagnosis details, treatment options, and partner management plans for reporting STDs such as gonorrhea, chlamydia, syphilis, and herpes. The form emphasizes the importance of timely reporting within three working days and includes instructions for managing partner treatment to ensure effective public health responses.

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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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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.

What is STD results?

Your STD test results may indicate reactive, not-detected, non-reactive or a reference range. Not detected and non-reactive mean the STD was not detected in your system. The reference range indicates whether the STD value is high enough to be considered positive; if not, it returns negative.

Which STDs are notifiable?

Notifiable sexually transmitted infections include: chlamydia (routinely notifiable by medical practitioners only where a person is aged 16 years or younger) gonorrhoea. HIV. syphilis.

Is chlamydia reported?

Surveillance information on the burden of STDs is used to inform public and private health efforts to control these diseases. Case data are available for nationally notifiable STDs, including chancroid, chlamydia, gonorrhea, and syphilis.

Which STD must be reported?

gonorrhea. hepatitis B (acute or chronic) HIV. syphilis.

Which STD is not reportable in all states?

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

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Does Hsv have to be reported?

The case report for Simplex is for initial genital infection. This diagnosis can be made by a clinician and cases should be reported with or without the presence of laboratory confirmation.

What does STD mean in reporting?

Sexually Transmitted Disease (STD) Surveillance.

Std report 2026

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