Provider Resources & Forms

 STD Treatment Guidelines

CDC released the 2015 STDSTD 2015 Treatment Guidelines in June 2015 which include various updates/ recommendations.

  • App – STD Treatment Guide 2015 – This easy-to-use mobile reference features a streamlined interface so that providers can quickly and easily access STD treatment and diagnostic information. The free app is available for Apple and Android devices.
  • Wall Chart – Overview of CDC’s 2015 STD Treatment Guidelines; ideal for use in doctor offices, nurse’s stations, and other clinical settings.
  • Pocket Guide – Small, and printed at a size that can fit in a lab coat, pocket, or desk drawer; it includes a summary of CDC’s 2015 STD Treatment Guidelines
  • Evidence Tables – These include background documents that are the basis for the STD screening, diagnostic, and treatment recommendations included in the 2015 STD Treatment Guidelines.

Virginia Specific Resources


STD Prevention Webinar

Webinars are held on the 3rd Tuesday of each month from 2-3PM. Register here to receive the login information: https://attendee.gotowebinar.com/register/4170339130479479041. Register in TRAIN to receive credit for attending.


National Resources


Forms

  • Coordination of Care and Services Agreement Form (CCSA): This form allows the client and the agency that provides services to identify and select available community resources. The goals are to help coordinate services, assist with closing the referral loop, and allow for easier linkages to care.
  • Epi-1: Non-laboratory healthcare facilities needing to report a case of a reportable condition should complete and mail the Epi-1 form, or confidential morbidity report, to their local health department. An Epi-1 form includes data on patient demographics, diagnosis, laboratory confirmation, reporting facility, and treatment.
  • Field Record: A Field Record is a tool designed to provide the DIS with the specific patient information needed to identify, locate, notify, and refer individuals for medical evaluation, testing, treatment, and referral services.
  • Interview Record: The Interview Record is a tool designed to be used by the DIS who interview individuals with a STD, to enhance disease intervention efforts by identifying other potentially infected individuals who may need examination, treatment or other intervention services.
  • Congenital Syphilis Case Investigation and Report Form: This form is completed when a healthcare provider suspects a case of congenital syphilis.

Please contact the Central Registry Unit at 804-864-8036 for additional forms.


STD Related Organizations