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New Hampshire Confidential Sti Reporting Form - New Hampshire
New Hampshire Confidential Sti Reporting Form is a legal document that was released by the New Hampshire Department of Health and Human Services - a government authority operating within New Hampshire.
FAQ
Q: What is the New Hampshire Confidential STI Reporting Form?
A: The New Hampshire Confidential STI Reporting Form is a document used for reporting sexually transmitted infections (STIs) in New Hampshire.
Q: Who is required to use the New Hampshire Confidential STI Reporting Form?
A: Healthcare providers and laboratories in New Hampshire are required to use the New Hampshire Confidential STI Reporting Form to report STIs.
Q: What information is collected on the New Hampshire Confidential STI Reporting Form?
A: The form collects information about the individual with the STI, the healthcare provider or laboratory reporting the case, and details about the infection itself.
Q: Is the information on the New Hampshire Confidential STI Reporting Form confidential?
A: Yes, the information on the form is confidential and protected by HIPAA (Health Insurance Portability and Accountability Act) regulations.
Q: Are there any penalties for not using the New Hampshire Confidential STI Reporting Form?
A: Failure to report STIs using the New Hampshire Confidential STI Reporting Form may result in penalties for healthcare providers and laboratories.
Form Details:
- Released on August 1, 2022;
- The latest edition currently provided by the New Hampshire Department of Health and Human Services;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Health and Human Services.
