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Sexually Transmitted Disease Program

    

Sexually Transmitted Disease Program


        
Sexually Transmitted Disease Program - Confidential Morbidity Report (CMR)

CMR


STDs diagnosed in patients who reside in LA County should be reported to the LA County Department of Public Health STD Program using the
STD CMR form,

The new form  can  be filled out on a computer and then printed, or printed and filled out by hand (see sample ) . After completing the CMR form, you may return it to the STD Program by either:

Fax (both sides) (213) 749-9602
Mail Los Angeles County Department of Public Health STD Program,
2615 South Grand Avenue, Room 450, Los Angeles, CA 90007

If you would like a custom electronic version of the form pre-populated with your information, please email all information requested in section 1 of the CMR to: stdreporting@ph.lacounty.gov.

Instructions on how to complete the CMR and a sample CMR can be downloaded and printed here

Case Definitions for Reportable STDs are available here

California law requires health care providers to report chlamydia (including LGV), gonorrhea,  PID, and chancroid within 7 calendar days of diagnosis and to report syphilis within 1 working day. The reporting of STDs does not require patient consent and does not contradict the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule. Letter from CA STD Control Branch regarding HIPAA and Public Health Disclosures

If you have questions about reporting, please call (213) 744-3106.

For information on HIV reporting please visit the HIV Epidimology Program website

 
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