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Mycoplasma genitalium "Mgen" Contact Tracing Form

Mycoplasma genitalium "Mgen" Contact Tracing Form

PASS uses contact tracing to identify, notify, and monitor individuals who may have been exposed to an infectious disease in order to prevent further infections. If you perform in the adult industry and have been diagnosed with an STI, you can use this form to provide us with the information we need to help keep the industry safe. Filling out this form is entirely voluntary, and the information you decide to provide is up to you. 
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    This should be the day you went to get tested, not the day you received your positive test result.
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    Common symptoms include painful urination, itchy urethra, discharge from genitals, and/or general pelvic discomfort.
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    Please check all that apply.
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    If you are unsure of a specific date, give your best guess.
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    This is the last day of your medication. For example, if you were prescribed 14 pills, this would be the day you are expected to take your last pill. It is important to complete your entire treatment as prescribed by your clinician.
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