AGENCY: Davis County (Utah). Health Department. Nursing Division

SERIES: 10796
TITLE: Sexually transmitted disease positive case investigative worksheets
DATES: 1986-2011.
ARRANGEMENT: Alphabetical by client's name, thereunder numerical by control number

DESCRIPTION: These federally supplied forms document investigations of client's who have tested positive for a sexually transmitted disease (STD). The original form is submitted to the State Center for Disease Control and a copy is retained by the local office. The interview record form includes control number, patient's name, address, birth date, age, race, ethnicity, sex, whether pregnant and number of months along, how case detected, information source, supervisor number, clinic code, medical record number, date assigned, worker assigned, date treated, interview period, sex of sex partners, a series of questions concerning sexual behavior, indication whether received pre-test and post-test counseling, whether tested for HIV, results of previous and current HIV tests, symptoms, lab results, treatment and other infections, interview number, date, type, exposure dates, name, sex, disease one and disease two disposition, diagnosis, worker number, post test, investigator/agent, codes, dates closed for disease one and disease two.

As of July 2011, these records are included with Series 10787.

RETENTION

DISPOSITION

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 12/1992

FORMAT MANAGEMENT

Paper copy: Retain in Office for 4 years and then destroy.

APPRAISAL

This disposition is based on the administrative needs expressed by the local health office.

PRIMARY DESIGNATION

Exempt. UCA 26-25a-101

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