Get Wi F-44243 2019-2025

The WI F-44243 form is essential for reporting sexually transmitted diseases in Wisconsin. This guide aims to provide clear, step-by-step instructions on how to complete the form efficiently and accurately online.

Follow the steps to fill out the WI F-44243 form online.

1. Click the ‘Get Form’ button to retrieve the WI F-44243 form. Once you have access to the form, open it in your preferred editor.
2. Begin filling out Section A, which covers Patient Demographic Information. Provide the patient’s last name, date of birth using the (mm/dd/yyyy) format, age, and additional personal details such as first name, middle initial, and sex/gender. Ensure you also include pregnancy status and street address details.
3. Proceed to Section B, where you will classify the disease related to the patient’s diagnosis. Indicate the suspected or confirmed diseases by checking the appropriate boxes, including options for syphilis, chlamydia, gonorrhea, and others.
4. In Section C, record the laboratory tests related to the current diagnosis. Provide a brief description of each test on separate lines, including the specimen source and test type. Document the date the specimen was collected and analyzed.
5. Continue to Section D for Treatment Information. Indicate any medications used for treatment by selecting the appropriate options and entering relevant details concerning administration, frequency, and dosage.
6. Finally, fill in Section E with the Reporting Source details, including the name of the individual reporting, contact information, and the agency responsible for reporting. Ensure this section is completed thoroughly for any follow-up.
7. After all sections are completed, save the changes and review the form for accuracy. You can then proceed to download, print, or share the completed form as necessary.

Take the next step in public health by completing the WI F-44243 form online today.