DEPARTMENT OF HEALTH SERVICES Division of Public Health F-44243 (Rev.03/2014) STATE OF WISCONSIN s. 252.05 Wisconsin Statss (608) 266-7365 SEXUALLY TRANSMITTED DISEASES LABORATORY & MORBIDITY.

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How to fill out the F-44243 - Dhs Wisconsin online

The F-44243 - Dhs Wisconsin form is essential for reporting sexually transmitted diseases in accordance with Wisconsin law. This guide will provide step-by-step instructions to help users complete the form accurately online.

Follow the steps to complete the F-44243 - Dhs Wisconsin form online.

  1. Click the ‘Get Form’ button to access the F-44243 form and open it in your online editor.
  2. Begin with Section A: Patient Demographic Information. Fill in the patient’s last name, first name, middle initial, date of birth, age, gender, pregnancy status, street address, city, county of residence, and telephone number. Ensure all details are accurate and complete.
  3. In Section B: Disease Classification Related to Diagnosis, check the boxes for each suspected or confirmed sexually transmitted disease. Make sure to indicate if the case involves conditions such as chlamydia or gonorrhea.
  4. Move to Section C: Laboratory Test(s) Related to Current Diagnosis. For each test, identify the specimen source and test type. Use one line per test and mark the result as positive or negative as applicable. Record the dates when the specimen was collected and analyzed.
  5. Complete Section D: Treatment (RX) Information. Check off all treatments administered or prescribed, and provide the name, type, dosage, and duration for each medication.
  6. Fill in the reporting details, including the name and contact information of the person reporting, and the local health department information.
  7. Review all entered information for accuracy and completeness. Make sure that all required fields are filled out before proceeding.
  8. Once all sections are correctly completed, use the options available in your online editor to save changes, download, print, or share the form as needed.

Complete your F-44243 form online today to ensure timely reporting.

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