Updated STI Case Report Form

The Harm Reduction Services Branch has updated their case report form for sexually transmitted infections (STIs). Click here to download the new form.

What’s included in this update:
– Treatment options that reflect the CDC’s new 2020 Gonorrhea Treatment Guidelines
– Option to report syphilis infections by stage (primary, secondary, early latent, unknown) and clinical manifestations (neurologic, ocular, etc.)
Form-fillable fields allow for faster entry by the healthcare provider
– Additional page containing helpful information on CDC recommended antimicrobials, sex partner management, local reporting laws, gonorrhea treatment failures, and HDOH’s STI Information Line

For more information on reporting for STIs and other infections that the HRSB oversees, please visit: