Bond County Health Department1520 South Fourth StreetGreenville, Illinois 62246Phone: (618) 664-1442 Fax: (618) 664-2261STD INFORMATION SHEETALL INFORMATION GIVEN TO THE STD NURSE IS STRICTLY CONFIDENTIAL
I do hereby affirm that above information is true, correct, and current. By signing this form, I am giving my permission to be tested, counseled, and treated if necessary, by the STD nurse in accordance with the current CDC treatment guidelines. I understand that I may be contacted by Bond. County Health Department concerning my test results.
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