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  • Illinois Confidential Morbidity Report Of Sexually Transmitted Diseases Form

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ILLINOIS DEPARTMENT OF PUBLIC HEALTH ILLINOIS CONFIDENTIAL MORBIDITY REPORT OF SEXUALLY TRANSMITTED DISEASES26063 1. Print firmly and neatly2. Only use pen with dark ink3. Send original form4. Print.

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REPORT ALL SYPHILIS CASES We appreciate your commitment to maintaining and promoting the health of all Illinoisans. For any questions or assistance please contact the Illinois STD Section at 217-782-2747.

Reportable STIs are: Chlamydia (Chlamydia trachomatis) Gonorrhea (Neisseria gonorrhoeae) Syphilis (Treponema pallidum)

YES. Public health reporting mandated by law is not changed by HIPAA (Health Insurance Portability and Accountability Act).

(c) No person shall be apprehended, examined or treated for a sexually transmissible disease against his will, under the provisions of this Act, except upon the presentation of a warrant duly authorized by a court of competent jurisdiction.

A reportable STI means that the medical provider who ordered the test for, and diagnosed the infection, as well as the laboratory that processed the test are required to report confirmed cases of these sexually transmitted infections to the local public health department where the infected individual lives.

AtlasPlus was created to provide an interactive platform for accessing data collected by CDC's National Center for HIV, Viral Hepatitis, STD, and TB Prevention (NCHHSTP).

Report Immediately by Telephone If the local health department cannot be reached during normal business hours, contact the Illinois Department of Public Health Division of Infectious Disease at 217-785-7165.

YES. Public health reporting mandated by law is not changed by HIPAA (Health Insurance Portability and Accountability Act). In fact, HIPAA expressly permits protected health information (PHI) to be shared for specified public health purposes.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232