Std report form 2025

1. Click ‘Get Form’ to open the std report form in the editor.
2. Begin by filling out the demographic information at the top, including gender, pregnancy status, and due date if applicable.
3. Proceed to the sections for Chlamydia, Gonorrhea, and Syphilis. Check all relevant boxes that apply to the patient's diagnosis.
4. Enter patient details such as name, date of birth, social security number, address, phone number, and race in the designated fields.
5. Document collection dates and reporting laboratory information for each test conducted.
6. Fill in treatment dates and select appropriate treatment regimens based on CDC recommendations provided in the form.
7. Finally, ensure all sections are completed accurately before saving your work. You can print and fax this form directly from our platform.

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