PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form STD-23
for the current year.
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.
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{class="scroll_to"} 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
1
2
