Home
Forms Library
Communicable disease assessment form

Oasas part 822 4 communicable disease assessment 2025

communicable disease assessment form Preview on Page 1

See details

4 out of 5

39 votes

The document is a Communicable Disease Risk Assessment form used in an Opioid Treatment Program. It collects patient information regarding their history of intravenous drug use, sexual behaviors, and testing for various communicable diseases such as HIV, tuberculosis, and hepatitis. The assessment includes questions about past medical history, test results, and referrals for further evaluation or care. Additionally, it provides explanations of terms related to sexually transmitted infections and emphasizes the importance of monitoring tuberculosis in patients.

Here's how it works

01. Edit your communicable disease assessment form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send communicable disease assessment via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out oasas part 822 4 communicable disease assessment with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the oasas part 822 4 communicable disease assessment in the editor.
Begin by entering the patient’s name and ID number at the top of the form. This information is crucial for identification and tracking.
Proceed to the HIV/AIDS, Tuberculosis, and Hepatitis sections. Answer each question regarding history of drug use, sexual behaviors, and previous tests honestly. Use checkboxes for 'Yes' or 'No' responses.
For HIV status, provide details about the last test date and results. If positive, include information about follow-up care and any treatments received.
Complete the Tuberculosis section by noting the date of the last skin test and chest x-ray results. Indicate if treatment was received for a positive result.
Fill out any additional sections related to other communicable diseases as applicable, ensuring all fields are completed accurately.
Finally, review all entries for accuracy before saving or sharing your completed assessment through our platform.

Start using our platform today to streamline your document editing and form completion process for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

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.

How can I create an electronic signature in my oasas apg manual 2022 on Android?

Approving paperwork on a mobile device is fast, easy, and doesn’t require software installation if you have an account with DocHub. Sign in from any browser, complete your empty fields with your information, and click on Sign → Create your signature. You can draw your eSignature just as you usually do on paper, add its picture to your oasas apg manual 2022, or type in your name and stylize its look. Whatever option you select, your document will be valid.

How do you edit oasas part 822 4 communicable disease assessment on iOS?

You can easily edit fill out your oasas part 822 4 communicable disease assessment on any iOS gadget. Open an internet browser of your liking, visit the DocHub website, authorize or create a new account, add your file for editing, and make your desired adjustments. Our service is mobile-friendly, so utilizing its features on your phone will be a no-brainer, even on the first try.

Try more PDF tools