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Confidential Partner Record


This questionnaire is given to a client testing positive for STD to provide information on partners and risk behavior for follow-up by disease intervention specialists.

Primary Toolkit:

HIV/STI Toolkit

Keyword Area:

Access to Care, Infectious Diseases, Vulnerable Populations


Institutional Author:

Cerro Gordo Department of Public Health





The NACCHO Toolbox is a repository of available resources to help local public health practitioners. Tools are produced by local, state, and federal agencies, as well as academic institutions and other stakeholders. The contents of this Toolbox are solely the responsibility of the authors and do not necessarily reflect any official recommendations of NACCHO. NACCHO makes no express or implied warranty with respect to the contents and disclaims liability for any damages arising from or connected to the use of the material in this Toolbox.