Get Wa Std Case Report 2015-2025

This guide provides step-by-step instructions for filling out the WA STD Case Report online. It aims to assist users in accurately completing the form to ensure proper reporting of sexually transmitted diseases.

Follow the steps to complete your case report effectively.

1. Press the ‘Get Form’ button to access the WA STD Case Report and open it in the designated editor.
2. Begin by inputting the patient’s information. Fill in the last name, first name, and middle initial. Ensure that this information is accurate as it is essential for identification.
3. Enter the patient’s address, city, state, and zip code. This information helps in correctly locating the patient.
4. Input the patient’s email address and telephone number. This will facilitate further communication if needed.
5. Record the date of diagnosis by selecting the month, day, and year. This information is crucial for the health department's timeline.
6. Indicate the patient's ethnicity, sex, race, and if applicable, whether the female patient is pregnant. This demographic information helps in understanding the affected populations.
7. Provide the date of birth for the patient. This detail assists in personal identification.
8. Select the reason for the exam by checking the appropriate box: symptomatic, routine exam, or exposure to infection.
9. If an HIV test was conducted during the visit, check the relevant box to indicate yes or no, and note if the result was previously positive.
10. For diagnosis, specify the type of STD based on lab confirmation (gonorrhea, chlamydia, syphilis, etc.), and complete the necessary fields accordingly.
11. If applicable, provide treatment information, including all prescribed medications and the dates they were prescribed.
12. Complete the partner management plan section by indicating how partner treatment will be ensured.
13. Fill out the reporting clinic information, including the date, diagnosing clinician, facility name, and contact person.
14. Finally, review all the entered information for accuracy before proceeding to save, download, or share the completed form.

Complete your WA STD Case Report online today.