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Form STD-11 Std Case Report Form - New Jersey
What Is Form STD-11?
This is a legal form that was released by the New Jersey Department of Health - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form STD-11?
A: Form STD-11 is the Standard Case Report Form used in New Jersey.
Q: What is the purpose of Form STD-11?
A: The purpose of Form STD-11 is to collect and document information about cases of infectious diseases in New Jersey.
Q: Who uses Form STD-11?
A: Healthcare providers and laboratories in New Jersey use Form STD-11 to report cases of infectious diseases.
Q: What information is collected on Form STD-11?
A: Form STD-11 collects information such as patient demographics, diagnosis, and laboratory test results.
Q: Is Form STD-11 required to be filled out?
A: Yes, healthcare providers and laboratories are required to fill out Form STD-11 for reportable infectious diseases in New Jersey.
Form Details:
- Released on December 1, 2018;
- The latest edition provided by the New Jersey Department of Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form STD-11 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Health.
