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Home > Calendar of Events > Revised DPH Form 4243

From the DPH STD Control Section
Revised DPH Form 4243

A two-part HCET LearningLink Audio Conference

Nov. 20 & Dec. 16, 2003
11:30am - 1:30pm CST
Register on-line now
for this workshop

  • This broadcast is FREE
  • Registration is required to receive dial-in information and handouts
  • Get info from this conference on our 2003 Post-Event Resources page

Description
     Audio conferences have been scheduled for November 20th and December 16th, to introduce the new Division of Public Health (DPH) STD Morbidity Report form and to address its use in combination with the Centers for Disease Control and Prevention (CDC) Field Record form.

Part I: November 20
     The first audio conference will focus on the revised STD Morbidity Report form (DPH 4243), which is going into effect in November. Staff from the STD unit will also touch on the companion CDC Field Record (CDC 2936). During the broadcast participants will be briefed on the scope of reportable STDs, the reporting process, and the steps DPH would like followed for transitioning in the new form. Additionally, instructions for completing and using the forms will be provided.

Part II: Dec. 16
     By the time of the second audio conference, use of the revised form will have begun. This audio conference will provide an opportunity to follow-up, recap, and receive feedback about the use of the form. CDC Form 2936 will also be more fully discussed.

Target Audience
     These two audio conferences are intended for all local public health departments, Family Planning agencies, STD clinic personnel, and other staff from related agencies who have any degree of responsibility for reporting or follow-up on reportable sexually transmitted diseases.

Featured Presenters

Loriann S. Wunder, C.H.E.S.
is a Public Health Educator for the STD Control Section of the DPH. She has been working in sexually transmitted disease intervention programs since 1990. She is a Certified Health Education Specialist with a B.S. in Community Health Education. She has trained various agencies throughout the state in STD Control strategies.
Alan Locke
is a Public Health Associate for the CDC since 1988 and for the past five years has been assigned to work as the Data Manager of the STD Control Section at DPH. Alan has been instrumental in the plan to revise the STD Morbidity Report form.

Audio Conferencing
     Audio conferencing allow participants easy access to important topics without having to travel far or be out of the office for an extended period of time. And when you choose to listen in from a County Extension site, there is no charge!

Steps to participate:

  1. Register with HCET.
  2. Reserve a location that is quiet and convenient, such as a County Extension site or your own office conference room (list of County Extension sites and phone in PDF format).
  3. Dial in to the number provided and enter the conference code when prompted.
  4. Watch for the handouts and dial-in number to be sent to you 2-3 days prior to the broadcast.

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 Last update: 03/05/08
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