Get Sexually Transmitted Diseases Laboratory & Morbidity Epidemiologic Case Report, F-44243

This guide provides clear, step-by-step instructions for users on how to accurately fill out the Sexually Transmitted Diseases Laboratory & Morbidity Epidemiologic Case Report, F-44243 online. Completing this report is essential for documenting and managing sexually transmitted diseases.

Follow the steps to complete your case report effectively.

1. Press the ‘Get Form’ button to obtain the form and open it for editing.
2. Complete Section A with the patient's demographic information. This includes the last name, first name, middle initial, date of birth, age, gender, street address, city, state, county of residence, telephone number, pregnancy status, race, ethnicity, and zip code. Ensure that all fields are accurately filled in.
3. Move to Section B to classify the disease related to the diagnosis. Check the box for each suspected or confirmed disease according to the guidelines provided. Include any relevant symptoms.
4. In Section C, provide details on laboratory tests related to the diagnosis. Use one line for each test and indicate the specimen source and test type. Mark the test results as positive or negative. Include relevant dates such as when the specimen was collected and analyzed.
5. Fill out Section D with treatment information. Indicate all medications administered, including the name, dosage, route (e.g., IM, PO), and duration of treatment. Also, document relevant dates such as onset of symptoms and treatment dates, alongside the name of the reporting person.
6. Finally, review all entries for accuracy. Save your changes, and prepare to download, print, or share the completed form as needed. Ensure you follow all distribution guidelines for submission to local health departments.

Complete the Sexually Transmitted Diseases Laboratory & Morbidity Epidemiologic Case Report, F-44243 online to ensure accurate documentation and reporting.