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Get CT STD-23 2015

60 days of age) Chlamydia Syphilis Gonorrhea INSTRUCTIONS FOR SUBMITTING STD-23:    This form is for reporting sexually transmitted diseases as required under Connecticut General Statute 19a-215, and Public Health Codes 19a-36-A2 through 19a-36-A4. If appropriate treatment has been provided, please complete the “Treatment Information” section of this form. STDs are considered category 2 diseases. This report must be completed and mailed in an envelope marked “CONFIDENTIAL” .

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