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Get and Sign Form STD 23 Download Fillable PDF or Fill Online Sexually 2020-2022

Get and Sign Form STD 23 Download Fillable PDF or Fill Online Sexually 2020-2022

Use a Form STD 23 Download Fillable PDF Or Fill Online Sexually 2020 template to make your document workflow more streamlined.

Of Reportable Sexually Transmitted Diseases Chancroid Neonatal herpes 60 days of age Chlamydia Syphilis Gonorrhea INSTRUCTIONS FOR SUBMITTING STD-23 This form is for reporting sexually transmitted diseases as required under Connecticut General Statute 19a-215 and Public Health Codes 19a-36-A2 through 19a-36-A4. STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH STD CONTROL PROGRAM 410 Capitol Avenue MS 11STD PO Box 340308 Hartford CT 06134-0308 Note Check this box to request forms PATIENT...
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