Get Ct Std-23 2016-2025
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How to fill out the CT STD-23 online
The CT STD-23 form is essential for reporting sexually transmitted diseases as required by Connecticut law. This guide will provide you with clear, step-by-step instructions to fill out the form online, ensuring you complete all necessary information accurately and efficiently.
Follow the steps to fill out the CT STD-23 online effectively.
- Click the ‘Get Form’ button to obtain the form and open it in the editor.
- Begin with the patient information section, providing the patient's name, address, date of birth, and identifying their sex. Be sure to select 'Male', 'Female', or 'Unknown' as applicable.
- Indicate whether the patient is pregnant, and provide information on the sex of their partners by selecting 'Men', 'Women', or 'Both'.
- Fill in the patient's race and ethnicity details from the options provided, or specify if 'Other'.
- In the disease information section, select the appropriate sexually transmitted disease diagnosed, such as Gonorrhea, Chlamydia, or Syphilis. Provide additional details if required.
- Complete the treatment information by specifying the treatment date and any medication administered. Indicate if the patient was treated, if partners were referred, or if expedited partner therapy was provided.
- Fill out the diagnostic information, including the test date and whether the diagnosis was laboratory confirmed or clinical.
- Finally, provide the attending physician's information, including their name, address, and phone number. Remember to include the date the report is being made.
- Once all fields have been filled out, review the information for accuracy, then save changes, download, print, or share the completed form as needed.
Complete your forms online today to ensure timely reporting and compliance.
As of recent reports, Mississippi often ranks as the state with the highest prevalence of STDs in the United States. This data serves as a call to action for states like Connecticut to prioritize sexual health education, including that surrounding forms like CT STD-23. By learning from the trends in other states, public health strategies can improve and help us work towards better overall health.
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