Get Sti Medication Administration Reporting Form - Gov Mb

This guide provides users with detailed instructions on how to accurately complete the STI Medication Administration Reporting Form online. Each section of the form is carefully analyzed to ensure a clear and comprehensive understanding of the reporting requirements.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to access the form and open it in the online editor.
2. Begin by entering the name of the clinic in the designated field. Ensure that the name is spelled correctly for accurate identification.
3. Next, input the name of the doctor responsible for the treatment in the appropriate section. This should reflect the medical professional overseeing the patient's care.
4. Record the date of the report. Use the format specified (yyyy/mm/dd) to standardize the information.
5. Provide the Patient Health Identification Number (PHIN), or if absent, include the Manitoba Health Services Commission (MHSC) number along with the patient's date of birth. This ensures proper identification and tracking of the patient.
6. Document the date of treatment following the same date format as indicated in step 4.
7. Select and indicate the diagnosis by referring to the provided list. Mark the number corresponding to the patient's diagnosed condition.
8. List the treatments administered by indicating the corresponding numbers from the list of publicly-funded treatments available for each diagnosis.
9. If multiple treatments were provided, ensure to list all the applicable treatment numbers to reflect the complete treatment history.
10. Once all information has been entered accurately, review the form for completeness. Users can choose to save their changes, download, print, or share the form based on their need.

Complete your STI Medication Administration Reporting Form online today for accurate and timely reporting.