Form STD-23 Sexually Transmitted Diseases Confidential Case Report Form - Connecticut

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Form STD-23 Sexually Transmitted Diseases Confidential Case Report Form - Connecticut

What Is Form STD-23?

This is a legal form that was released by the Connecticut State Department of Public Health - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form STD-23?
A: Form STD-23 is the Sexually Transmitted Diseases Confidential Case Report Form used in Connecticut.

Q: What is the purpose of Form STD-23?
A: The purpose of Form STD-23 is to collect confidential information about individuals diagnosed with sexually transmitted diseases in Connecticut.

Q: Who uses Form STD-23?
A: Form STD-23 is used by healthcare providers and laboratories in Connecticut.

Q: What information does Form STD-23 collect?
A: Form STD-23 collects information about the individual's demographics, the types of sexually transmitted diseases diagnosed, and treatment information.

Q: Is the information on Form STD-23 confidential?
A: Yes, the information on Form STD-23 is confidential and protected by law.

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Form Details:

  • Released on May 13, 2016;
  • The latest edition provided by the Connecticut State Department of Public 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-23 by clicking the link below or browse more documents and templates provided by the Connecticut State Department of Public Health.

Download Form STD-23 Sexually Transmitted Diseases Confidential Case Report Form - Connecticut

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