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Std / HIV / Viral Hepatitis Disease Reporting Form - Wyoming
Std/HIV/Viral Hepatitis Disease Reporting Form is a legal document that was released by the Wyoming Department of Health - a government authority operating within Wyoming.
FAQ
Q: What is the Std/HIV/Viral Hepatitis Disease Reporting Form?A: The Std/HIV/Viral Hepatitis Disease Reporting Form is a document used in Wyoming to report cases of sexually transmitted diseases (STDs), HIV, and viral hepatitis.
Q: Who uses the Std/HIV/Viral Hepatitis Disease Reporting Form?A: Healthcare providers, laboratories, and other entities involved in the diagnosis and treatment of STDs, HIV, and viral hepatitis use the Std/HIV/Viral Hepatitis Disease Reporting Form.
Q: What is the purpose of the Std/HIV/Viral Hepatitis Disease Reporting Form?A: The purpose of the form is to collect information about cases of STDs, HIV, and viral hepatitis in order to track the spread of these diseases, conduct surveillance, and implement public health interventions.
Q: What information is required on the form?A: The form requires information about the person being reported, such as demographics, risk factors, and laboratory test results.
Q: Do I need to fill out this form if I have a positive STD, HIV, or viral hepatitis test?A: Yes, healthcare providers and laboratories are required by law to report positive cases of STDs, HIV, and viral hepatitis using the Std/HIV/Viral Hepatitis Disease Reporting Form.
Q: Is the information on the form confidential?A: Yes, the information collected on the form is protected by confidentiality laws and is used for public health purposes only.
Q: Can I be identified by submitting this form?A: No, personal identifying information is not disclosed when the data is used for public health purposes.
Q: What happens after I submit the form?A: Once the form is submitted, the information is used for public health surveillance, tracking the spread of diseases, and implementing interventions to prevent further transmission.
Q: Are there any penalties for not reporting cases?A: Healthcare providers and laboratories may be subject to penalties for not reporting cases of STDs, HIV, and viral hepatitis as required by law.
Form Details:
- Released on October 14, 2015;
- The latest edition currently provided by the Wyoming Department of Health;
- 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 printable version of the form by clicking the link below or browse more documents and templates provided by the Wyoming Department of Health.
