DOH Logo linking to the DOH Home Page

  Sexually Transmitted Disease
Confidential Case Report Form and Reporting Requirements
Blue Line
You are here: DOH Home » CFH Home » STD Home » STD Reporting and Confidential Case Report Form Search | Employees
  Site Directory:  

Washington State  Sexually Transmitted Disease Confidential Case Report Form and Reporting Requirements 

• DOH Home

• CFH Home

• STD Home

• STD Guidelines

• Diagnostic & Treatment Facilities

• Surveillance & Statistics
• STD Morbidity
• County Profiles

• STD Expedited Partner
Therapy (EPT)

• Publications

• Helpful Links

• STD Laws and Regulations

• Staff Directory

• STD Case Report Form

Related Information:

• STD Treatment Guidelines-2006(Complete) (PDF, 702KB)

• STD Treatment Guidelines-2006 (Summary) (PDF, 39KB)

• New Guidelines for Treatment of Gonorrhea-April 2007 (PDF, 50KB)

• Recommendations for Laboratory Confirmation of LGV (PDF, 23KB)

 

Contact Information:
STD Program
Ph: 360-236-3460
Toll Free:
1-800-272-2437
Fax: 360-236-3470


Some files on this page require free readers.
Download A Free Reader
   Access Washington Official State Government Web Site logo

www.doh.wa.gov
a healthy dose of
information

                   

 

Notifiable Condition Reporting Form for Sexually Transmitted Diseases:

 
Adams County Case Report Form: PDF, 89KB Grays Harbor County Case Report Form: PDF, 89KB Pierce County Case Report Form: PDF, 74KB
Asotin County Case Report Form:
PDF, 89KB		 Island County Case Report Form:
PDF, 89KB		 San Juan County Case Report Form:
 PDF, 89KB
Benton County Case Report Form
 PDF, 89KB		 Jefferson County Case Report Form:
 PDF, 89KB		 Skagit County Case Report Form:
 PDF, 89KB
Chelan County Case Report:
 PDF, 89KB		 King County Case Report Form:
King County Website		 Skamania County Case Report Form:
 PDF, 89KB
Clallam County Case Report Form:
 PDF, 89KB		 Kitsap Case Report Form:
 PDF, 89KB		 Snohomish County Case Report Form:
 PDF, 89KB
Clark County Case Report Form:
 PDF, 89KB		 Kittitas County Case Report Form:
 PDF, 89KB		 Spokane County Case Report Form:
PDF, 89KB
Columbia County Case Report Form:
PDF, 89KB		 Klickitat County Case Report Form:
 PDF, 89KB		 Stevens County Case Report Form:
PDF, 49KB
Cowlitz County Case Report Form:
PDF, 89KB		 Lewis County Case Report Form:
 PDF, 89KB		 Thurston County Case Report Form:
 PDF, 89KB
Douglas County Case Report Form:
 PDF, 89KB		 Lincoln County Case Report Form:
PDF, 89KB		 Wahkiakum County Case Report Form:
PDF, 89KB
Ferry County Case Report Form:
PDF, 48KB		 Mason County Case Report Form:
 PDF, 89KB		 Walla Walla County Case Report Form:
 PDF, 89KB
Franklin County Case Report Form:
 PDF, 89KB		 Okanogan County Case Report Form:
 PDF, 89KB		 Whatcom County Case Report Form:
 PDF, 89KB
Garfield County Case Report Form:
PDF, 89KB		 Pacific County Case Report Form:
PDF, 89KB		 Whitman County Case Report Form:
 PDF, 89KB
Grant County Case Report Form:
PDF, 89KB		 Pend Oreille County Case Report Form: PDF, 73KB Yakima County Case Report Form:
 PDF, 89KB
 

Chlamydia and Gonorrhea
 

Legal Reporting Requirements

  • Health care providers: notifiable to local health jurisdiction within 3 work days

  • Hospitals: notifiable to local health jurisdiction within 3 work days

  • Laboratories: notifiable to local health jurisdiction within 2 work days

  • Local health jurisdictions: notify the Washington State Department of Health

  • Sexually Transmitted Disease Services Section within 7 days of case investigation completion; summary information required within 21 days for all reported cases

Chancroid, Granuloma Inguinale, and Lymphogranuloma Venereum
 

Legal Reporting Requirements

  • Health care providers: notifiable to local health jurisdiction within three work days

  • Hospitals: notifiable to local health jurisdiction within three work days

  • Laboratories: no requirements for reporting

  • Local health jurisdictions: notify the Washington State Department of Health, Sexually Transmitted Disease Services Section within seven days of case investigation completion; summary information required within 21 days for all reported cases

Herpes

 

Legal Reporting Requirements

  • Health care providers: initial genital and all neonatal infections are notifiable to local health jurisdiction within three work days (WAC 246-101-101)

  • Hospitals: no requirements for reporting

  • Laboratories: no requirements for reporting

  • Local health jurisdictions: notify the Washington State Department of Health, Sexually Transmitted Disease Services Section within seven days of case investigation completion; summary information required within 21 days for all reported cases

Syphilis
 

Legal Reporting Requirements

  • Health care providers: notifiable to local health jurisdiction within three work days

  • Hospitals: notifiable to local health jurisdiction within three work days

  • Laboratories: notifiable to local health jurisdiction within two work days, specimen submission required to State Public Health Laboratory or Public Health, Seattle & King County laboratory

  • Local health jurisdictions: notify the Washington State Department of Health, Sexually Transmitted Disease Services Section within seven days of case investigation completion; summary information required within 21 days for all reported cases

 

DOH Home | CFH Home | Access Washington | Privacy Notice | Disclaimer/Copyright Information

  

Washington State Department of Health
P.O. Box 47842
Olympia, Washington, 98504-7842

Send inquires about DOH and its programs to the Health Consumer Assistance Office
Comments or questions regarding this web site? Send mail to Rayna Halloway.

Documents posted in .pdf version on the Department of Health Web site will be made available on request to users who are unable to download or view them.  For persons with disabilities, .pdf documents will be made available on request in other formats.  To submit a request, contact: Rayna Halloway at rayna.halloway@doh.wa.gov 

 Last Update : 12/03/2009 02:07 PM