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. After completing the CMR form, you may return it to the STD Program by either:
| Fax (both sides) | (213) 749-9602 |
|
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.
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.
If you have questions about reporting, please call
(213) 744-3106.
