QCS Assessment

---

Overview

Recipient Information
Instructions
Prevention
Evaluation
Laboratory
Treatment
Sexual History & Exam
Screening
Partner Services
Assessment Summary
Additional Information

---

Sheet 1: Recipient Information

CoAg Title:	Enhancing STI and Sexual Health Clinic Infrastructure							Form Approved
CoAg Number:	RFA PS23-0011							OMB Control No. 0920-1282
Agency:	[Threaded comment] Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924 Comment: This table not needed							Exp. Date: 06/30/2026
Funded for Strategy C?
Reporting Period:
Date completed:
Public reporting burden of this collection of information is estimated to average 6 hours per response per year, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; Attn: OMB-PRA (0920-1282).

---

Sheet 2: Instructions

Jump to:	Prevention sheet	Evaluation of STD-Related Conditions sheet	Laboratory sheet	Treatment sheet	Sexual History & Exam sheet	Screening sheet	Partner Services sheet	Assessment Summary sheet	Additional Information sheet
											Links
											Microsoft website: Install the version of Power Query needed to use this workbook
											CDC website: Recommendations for Providing Quality Sexually Transmitted Diseases Clinical Services, 2020
											YouTube: Intro to the Assessment Tool video
											YouTube: Taking the Assessment video
											YouTube: Using the Assessment Summary Sheet video

---

Sheet 3: Prevention

If "no" is selected, indicate reasons for not providing services by placing an "X" in corresponding cells (select all that apply). Leave corresponding cells empty if "yes" is selected in Column C.

Prevention Recommendation

Does your clinic provide this service?

Insufficient resources (funding, equipment, no lab or dispensing on premises)

Insufficient staffing (capacity, qualifications, training)

Population served

Protocols and procedures (lack of protocol or standing orders)

Referral process in place

Legal and cultural barriers (minor consent, conservative environment)

Limited referral network for treatment

Other, please specify

On-site hepatitis B vaccination or referral

x

On-site HPV vaccination or referral

On-site hepatitis A vaccination

On-site condom provision

[Threaded comment] Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924 Comment: Remove pre-filled cells No

X

Brief single STD/HIV prevention counseling session (up to 30 minutes)

Moderate-intensity STD behavioral counseling (≥30 minutes)

High-Intensity STD behavioral counseling (≥2 hours)

Brief contraceptive counseling or referral

Emergency contraceptive pills

Risk assessment, education and referral or link to HIV care for pre-exposure prophylaxis (PrEP) for HIV prevention

Risk assessment, education and referral or link to HIV care for non-occupational post-exposure prophylaxis (nPEP)

Provision of PrEP for HIV prevention

Provision of nPEP of HIV

Referral or link to HIV care, if indicated

Referral or link to family planning services, if indicated

Referral or link to behavioral health services, if indicated

Jump to:

Instructions sheet

Assessment Summary sheet

Additional Information sheet

---

Sheet 4: Evaluation

		If "no" is selected, indicate reasons for not providing services by placing an "X" in corresponding cells (select all that apply). Leave corresponding cells empty if "yes" is selected in Column C.
Evaluation of STD-Related Conditions Recommendation	Does your clinic provide this service?	Insufficient resources (funding, equipment)	Insufficient staffing (capacity, qualifications, training)	Population served	Protocols and procedures (express visit protocol, unclear guidelines)	Referral process in place	Other
Evaluation (history and examination) for Genital ulcer disease
Evaluation (history and examination) for Male urethritis syndrome
Evaluation (history and examination) for Vaginal discharge
Evaluation (history and examination) for pelvic inflammatory disease (PID)
Evaluation (history and examination) for Genital warts
Evaluation (history and examination) for Proctitis
Evaluation (history and examination) for Ectoparasitic infections
Evaluation (history and examination) for Pharyngitis
Evaluation (history and examination) for Epididymitis
Evaluation (history and examination) for Systemic or dermatologic conditions compatible with or suggestive of an STD etiology
Jump to:
Instructions sheet
Assessment Summary sheet
Additional Information sheet

---

Sheet 5: Laboratory

		If "no" is selected, indicate reasons for not providing services by placing an "X" in corresponding cells (select all that apply). Leave corresponding cells empty if "yes" is selected in Column C.
Laboratory Recommendation	Does your clinic provide this service?	Insufficient resources (funding, lack of culture plates and inability to incubate them)	Insufficient staffing (capacity, qualifications, training)	Population served	Protocols and procedures (procedures don’t allow for collection)	Referral process in place	Other, please specify
At the time of patient visit: pH paper
At the time of patient visit: Thermometer
At time of patient visit: Dark field microscopy for syphilis
At time of patient visit: Gram stain, methylene blue, or gentian violet stain for urethritis
At time of patient visit: On-site qualitative non-treponemal serologic test for syphilis
At time of patient visit: Phlebotomy
At time of patient visit: Test for bacterial vaginosis
At time of patient visit: Test for HIV
At time of patient visit: Test for pregnancy
At time of patient visit: Test for trichomoniasis
At time of patient visit: Test for vulvovaginal candidiasis
At time of patient visit: Urinalysis with microscopy
At time of patient visit: Urine dipstick
Through clinical laboratory: Extragenital (pharynx and rectum) NAAT for gonorrhea and chlamydia
Through clinical laboratory: Fourth generation antigen/antibody HIV test
Through clinical laboratory: Gonorrhea antimicrobial susceptibility testing
Through clinical laboratory: Gonorrhea culture
Through clinical laboratory: Gram stain, methylene blue, or gentian violet stain for urethritis
Through clinical laboratory: HSV serology
Through clinical laboratory: HSV viral culture or PCR
Through clinical laboratory: NAAT for trichomoniasis
Through clinical laboratory: Laboratory tests needed for providing nPEP and PrEP, as per clinical protocol
Through clinical laboratory: Oncogenic HPV NAATs with Pap smear
Through clinical laboratory: Quantitative nontreponemal serologic test for syphilis
Through clinical laboratory: Serologic tests for hepatitis A
Through clinical laboratory: Serologic tests for hepatitis B
Through clinical laboratory: Serologic tests for hepatitis C
Through clinical laboratory: Test for pregnancy
Through clinical laboratory: Treponemal serologic test for syphilis
Through clinical laboratory: Urogenital NAAT for gonorrhea and chlamydia
Jump to:
Instructions sheet
Assessment Summary sheet
Additional Information sheet

---

Sheet 6: Treatment

		If "no" is selected, indicate reasons for not providing services by placing an "X" in corresponding cells (select all that apply). Leave corresponding cells empty if "yes" is selected in Column C.
Treatment Recommendation	Does your clinic provide this service on site?	Insufficient resources (cost, procurement, don’t stock due to infrequent use)	Insufficient staffing (capacity, training, qualifications)	Population served	Protocols and procedures (prescription given if medicine not available on site)	Referral process in place	Other, please specify
On site: treatment for gonorrhea
On site: treatment for chlamydia
On site: treatment for cervicitis
On site: treatment for nongonococcal urethritis
On site: treatment for proctitis
On site: treatment for PID
On site: treatment for epididymitis
On site: treatment for syphilis
On site: PrEP
On site: nPEP
On site: provider-applied regimens for genital warts
On site: emergency contraceptive pills
On site: treatment for trichomoniasis
On site: treatment for herpes
On site: treatment for bacterial vaginosis
On site: treatment for acute or new diagnosis of HIV care
On site: treatment for persistent and recurrent cervicitis and nongonococcal urethritis
On site: EPT for gonorrhea and chlamydia
By prescription: treatment for herpes
By prescription: treatment for trichomoniasis
By prescription: treatment for bacterial vaginosis
By prescription: treatment for vulvovaginal candidiasis
By prescription: treatment for UTI
By prescription: PrEP
By prescription: nPEP
By prescription: emergency contraceptive pills
By prescription: patient-applied regimens for genital warts
By prescription: treatment for ectoparasitic infections
By prescription: EPT for gonorrhea and chlamydia (EPT for gonorrhea and chlamydia, either on-site OR via prescription, is also included in the Partner Services section)
Jump to:
Instructions sheet
Assessment Summary sheet
Additional Information sheet

---

Sheet 7: Sexual History & Exam

		If "no" is selected, indicate reasons for not providing services by placing an "X" in corresponding cells (select all that apply). Leave corresponding cells empty if "yes" is selected in Column C.
Sexual History and Physical Exam Recommendation	Does your clinic provide this service?	Insufficient resources (funding, equipment)	Insufficient staffing (capacity, training, provider discomfort)	Population served (patient need, reluctance)	Protocols and procedures (5 Ps, express visit protocol, EMR/EHR prompts)	Referral process in place	Other, please specify
A sexual history and risk assessment as part of initial comprehensive or annual visit
A sexual history and risk assessment at each visit concerning reproductive, genital, or urological issues
A sexual history and risk assessment at each visit unrelated to reproductive, genital, or urologic concerns
A sexual history and risk assessment at every visit for patients with STD-related symptoms, STD-related concerns, or concerns about preventing or achieving pregnancy
A physical examination for male and female patients with STD-related symptoms, STD-related concerns, or those at high behavioral risk for incident STDs
A pelvic examination
Colposcopy for female patients with abnormal Pap smears
Anoscopy
A high-resolution anoscopy for patients with abnormal anal Pap smears
Jump to:
Instructions sheet
Assessment Summary sheet
Additional Information sheet

---

Sheet 8: Screening

		If "no" is selected, indicate reasons for not providing services by placing an "X" in corresponding cells (select all that apply). Leave corresponding cells empty if "yes" is selected in Column C.
Screening Recommendation	Does your clinic provide this service?	Insufficient resources (funding, equipment, test not available)	Insufficient staffing (capacity to follow up on abnormal results)	Population served	Limited referral network for treatment	Other, please specify
Gonorrhea screening
Chlamydia screening
Syphilis screening
Hepatitis B screening
Hepatitis C screening
HIV screening
Cervical cancer screening
Trichomoniasis screening
Anal cancer screening
Jump to:
Instructions sheet
Assessment Summary sheet
Additional Information sheet

---

Sheet 9: Partner Services

		If "no" is selected, indicate reasons for not providing services by placing an "X" in corresponding cells (select all that apply). Leave corresponding cells empty if "yes" is selected in Column C.
Partner Services Recommendation	Does your clinic provide this service?	Insufficient resources (funding, equipment, cost to patient)	Insufficient staffing (staff discomfort, capacity, training)	Protocols and procedures (e-prescribing issues, provide refill to original patient instead, no DIS referral)	Legal and cultural barriers (EPT not legal, staff/leadership opposition)	Other, please specify
Guidance regarding notification and care of sex partners
EPT (where legal and where local or state jurisdictions do not prohibit by regulation)
Interactive counseling for partner notification
Health department disease intervention specialist (DIS) elicitation of sex partner information to identify those who might have been exposed and to identify patient follow-up needs
Jump to:
Instructions sheet
Assessment Summary sheet
Additional Information sheet

---

Sheet 10: Assessment Summary

Quality STD Services Summary Table (% of recommendations met)
Recommendations	Primary Care/Should	Primary Care/Could	Specialized/Should	Specialized/Could
Prevention	0%	0%	0%	0%
Evaluation of STD-Related Conditions	0%		0%
Laboratory	0%	0%	0%	0%
Treatment	0%	0%	0%	0%
Sexual History & Exam	0%	0%	0%	0%
Screening	0%	0%	0%	0%
Partner Services	0%	0%	0%
Total % of all recommendations met	0%	0%	0%	0%
Prevention Recommendation	Does your clinic provide this service?	Insufficient resources (funding, equipment, no lab or dispensing on premises)	Insufficient staffing (capacity, qualifications, training)	Population served	Protocols and procedures (lack of protocol or standing orders)	Referral process in place	Legal and cultural barriers (minor consent, conservative environment)	Limited referral network for treatment	Other, please specify
On-site hepatitis B vaccination or referral
On-site HPV vaccination or referral
On-site hepatitis A vaccination
On-site condom provision	No	X
Brief single STD/HIV prevention counseling session (up to 30 minutes)
Moderate-intensity STD behavioral counseling (≥30 minutes)
High-Intensity STD behavioral counseling (≥2 hours)
Brief contraceptive counseling or referral
Emergency contraceptive pills
Risk assessment, education and referral or link to HIV care for pre-exposure prophylaxis (PrEP) for HIV prevention
Risk assessment, education and referral or link to HIV care for non-occupational post-exposure prophylaxis (nPEP)
Provision of PrEP for HIV prevention
Provision of nPEP of HIV
Referral or link to HIV care, if indicated
Referral or link to family planning services, if indicated
Referral or link to behavioral health services, if indicated
	Reasons not met (%)	100%	0%	0%	0%	0%	0%	0%
Evaluation of STD-Related Conditions Recommendation	Does your clinic provide this service?	Insufficient resources (funding, equipment)	Insufficient staffing (capacity, qualifications, training)	Population served	Protocols and procedures (express visit protocol, unclear guidelines)	Referral process in place	Other
Evaluation (history and examination) for Genital ulcer disease
Evaluation (history and examination) for Male urethritis syndrome
Evaluation (history and examination) for Vaginal discharge
Evaluation (history and examination) for pelvic inflammatory disease (PID)
Evaluation (history and examination) for Genital warts
Evaluation (history and examination) for Proctitis
Evaluation (history and examination) for Ectoparasitic infections
Evaluation (history and examination) for Pharyngitis
Evaluation (history and examination) for Epididymitis
Evaluation (history and examination) for Systemic or dermatologic conditions compatible with or suggestive of an STD etiology
	Reasons not met (%)	#DIV/0!	#DIV/0!	#DIV/0!	#DIV/0!	#DIV/0!
Laboratory Recommendation	Does your clinic provide this service?	Insufficient resources (funding, lack of culture plates and inability to incubate them)	Insufficient staffing (capacity, qualifications, training)	Population served	Protocols and procedures (procedures don’t allow for collection)	Referral process in place	Other, please specify
At the time of patient visit: pH paper
At the time of patient visit: Thermometer
At time of patient visit: Dark field microscopy for syphilis
At time of patient visit: Gram stain, methylene blue, or gentian violet stain for urethritis
At time of patient visit: On-site qualitative non-treponemal serologic test for syphilis
At time of patient visit: Phlebotomy
At time of patient visit: Test for bacterial vaginosis
At time of patient visit: Test for HIV
At time of patient visit: Test for pregnancy
At time of patient visit: Test for trichomoniasis
At time of patient visit: Test for vulvovaginal candidiasis
At time of patient visit: Urinalysis with microscopy
At time of patient visit: Urine dipstick
Through clinical laboratory: Extragenital (pharynx and rectum) NAAT for gonorrhea and chlamydia
Through clinical laboratory: Fourth generation antigen/antibody HIV test
Through clinical laboratory: Gonorrhea antimicrobial susceptibility testing
Through clinical laboratory: Gonorrhea culture
Through clinical laboratory: Gram stain, methylene blue, or gentian violet stain for urethritis
Through clinical laboratory: HSV serology
Through clinical laboratory: HSV viral culture or PCR
Through clinical laboratory: NAAT for trichomoniasis
Through clinical laboratory: Laboratory tests needed for providing nPEP and PrEP, as per clinical protocol
Through clinical laboratory: Oncogenic HPV NAATs with Pap smear
Through clinical laboratory: Quantitative nontreponemal serologic test for syphilis
Through clinical laboratory: Serologic tests for hepatitis A
Through clinical laboratory: Serologic tests for hepatitis B
Through clinical laboratory: Serologic tests for hepatitis C
Through clinical laboratory: Test for pregnancy
Through clinical laboratory: Treponemal serologic test for syphilis
Through clinical laboratory: Urogenital NAAT for gonorrhea and chlamydia
	Reasons not met (%)	#DIV/0!	#DIV/0!	#DIV/0!	#DIV/0!	#DIV/0!
Treatment Recommendation	Does your clinic provide this service on site?	Insufficient resources (cost, procurement, don’t stock due to infrequent use)	Insufficient staffing (capacity, training, qualifications)	Population served	Protocols and procedures (prescription given if medicine not available on site)	Referral process in place	Other, please specify
On site: treatment for gonorrhea
On site: treatment for chlamydia
On site: treatment for cervicitis
On site: treatment for nongonococcal urethritis
On site: treatment for proctitis
On site: treatment for PID
On site: treatment for epididymitis
On site: treatment for syphilis
On site: PrEP
On site: nPEP
On site: provider-applied regimens for genital warts
On site: emergency contraceptive pills
On site: treatment for trichomoniasis
On site: treatment for herpes
On site: treatment for bacterial vaginosis
On site: treatment for acute or new diagnosis of HIV care
On site: treatment for persistent and recurrent cervicitis and nongonococcal urethritis
On site: EPT for gonorrhea and chlamydia
By prescription: treatment for herpes
By prescription: treatment for trichomoniasis
By prescription: treatment for bacterial vaginosis
By prescription: treatment for vulvovaginal candidiasis
By prescription: treatment for UTI
By prescription: PrEP
By prescription: nPEP
By prescription: emergency contraceptive pills
By prescription: patient-applied regimens for genital warts
By prescription: treatment for ectoparasitic infections
By prescription: EPT for gonorrhea and chlamydia (EPT for gonorrhea and chlamydia, either on-site OR via prescription, is also included in the Partner Services section)
	Reasons not met (%)	#DIV/0!	#DIV/0!	#DIV/0!	#DIV/0!	#DIV/0!
Sexual History and Physical Exam Recommendation	Does your clinic provide this service?	Insufficient resources (funding, equipment)	Insufficient staffing (capacity, training, provider discomfort)	Population served (patient need, reluctance)	Protocols and procedures (5 Ps, express visit protocol, EMR/EHR prompts)	Referral process in place	Other, please specify
A sexual history and risk assessment as part of initial comprehensive or annual visit
A sexual history and risk assessment at each visit concerning reproductive, genital, or urological issues
A sexual history and risk assessment at each visit unrelated to reproductive, genital, or urologic concerns
A sexual history and risk assessment at every visit for patients with STD-related symptoms, STD-related concerns, or concerns about preventing or achieving pregnancy
A physical examination for male and female patients with STD-related symptoms, STD-related concerns, or those at high behavioral risk for incident STDs
A pelvic examination
Colposcopy for female patients with abnormal Pap smears
Anoscopy
A high-resolution anoscopy for patients with abnormal anal Pap smears
	Reasons not met (%)	#DIV/0!	#DIV/0!	#DIV/0!	#DIV/0!	#DIV/0!
Screening Recommendation	Does your clinic provide this service?	Insufficient resources (funding, equipment, test not available)	Insufficient staffing (capacity to follow up on abnormal results)	Population served	Limited referral network for treatment	Other, please specify
Gonorrhea screening
Chlamydia screening
Syphilis screening
Hepatitis B screening
Hepatitis C screening
HIV screening
Cervical cancer screening
Trichomoniasis screening
Anal cancer screening
	Reasons not met (%)	#DIV/0!	#DIV/0!	#DIV/0!	#DIV/0!
Partner Services Recommendation	Does your clinic provide this service?	Insufficient resources (funding, equipment, cost to patient)	Insufficient staffing (staff discomfort, capacity, training)	Protocols and procedures (e-prescribing issues, provide refill to original patient instead, no DIS referral)	Legal and cultural barriers (EPT not legal, staff/leadership opposition)	Other, please specify
Guidance regarding notification and care of sex partners
EPT (where legal and where local or state jurisdictions do not prohibit by regulation)
Interactive counseling for partner notification
Health department disease intervention specialist (DIS) elicitation of sex partner information to identify those who might have been exposed and to identify patient follow-up needs
	Reasons not met (%)	#DIV/0!	#DIV/0!	#DIV/0!	#DIV/0!

---

Sheet 11: Additional Information

Jump to:	Prevention sheet	Evaluation of STD-Related Conditions sheet	Laboratory sheet	Treatment sheet	Sexual History & Exam sheet	Screening sheet	Partner Services sheet	Assessment Summary sheet	Instructions sheet
Recommendation	Additional Information
PREVENTION
Brief single STD/HIV prevention counseling session (up to 30 minutes)	Brief prevention counseling is conducted in a single session using strategies, such as motivational interviewing and building rapport, and includes patient circumstances and needs in the counseling plan. Moderate-intensity and high-intensity behavioral counseling is contact time of 30–120 minutes and ≥2 hours, respectively.
Moderate-intensity STD behavioral counseling (≥30 minutes)	Brief prevention counseling is conducted in a single session using strategies, such as motivational interviewing and building rapport, and includes patient circumstances and needs in the counseling plan. Moderate-intensity and high-intensity behavioral counseling is contact time of 30–120 minutes and ≥2 hours, respectively.
High-intensity STD behavioral counseling (≥2 hours)	Brief prevention counseling is conducted in a single session using strategies, such as motivational interviewing and building rapport, and includes patient circumstances and needs in the counseling plan. Moderate-intensity and high-intensity behavioral counseling is contact time of 30–120 minutes and ≥2 hours, respectively.
Risk assessment, education and referral or link to HIV care for pre-exposure prophylaxis (PrEP) for HIV prevention	Provided by a clinician or other appropriately trained staff.
Risk assessment, education and referral or link to HIV care for non-occupational post-exposure prophylaxis (nPEP)	Provided by a clinician or other appropriately trained staff.
Emergency contraceptive pills	If emergency contraceptive pills are not available on site or by prescription, patients can be advised that levonorgestrel emergency contraceptive pills are available over the counter and ulipristal acetate emergency contraceptive pills are only available by prescription. Emergency contraceptive pills should be taken as soon as possible within 5 days of unprotected sex.
On-site condom provision	Providers can partner with local organizations, such as the local health department and community-based organizations, to procure condoms. In some states, prescriptions can be written for condoms. For certain settings, such as family planning clinics, condoms should be available on-site.
Provision of PrEP for HIV prevention	Basic STD Care: PrEP could be available by starter packs or prescription with on-site follow-up care for basic STD care. If PrEP is not provided, navigator-assisted referral for PrEP should be provided with first appointment made while the patient is on site. Specialized STD Care: PrEP should be available in starter packs or by prescription with on-site follow-up care for specialized STD care. If PrEP is not provided, navigator-assisted referral for PrEP should be provided with first appointment made while the patient is on site.
Provision of nPEP of HIV	Basic STD Care: nPEP starter pack (3–7 days of medication) could be available on site, with either on-site follow-up care or referral for basic STD care. nPEP starter pack or complete 28-day course could be available by prescription, with either on-site follow-up care or referral, with first appointment made while the patient is on site. Provision of the complete 28-day nPEP medication supply at the initial visit rather than a starter pack of 3–7 days has been reported to increase likelihood of adherence, especially when patients find returning for multiple follow-up visits difficult. Routinely providing starter packs or the complete 28-day course requires that health care providers stock nPEP drugs in their practice setting or have an established agreement with a pharmacy to stock, package, and urgently dispense nPEP drugs with required administration instructions (https://www.cdc.gov/hiv/pdf/programresources/cdc-hiv-npep-guidelines.pdfpdf icon). Specialized STD Care: nPEP starter pack (3–7 days of medication) should be available on site, with either on-site follow-up care or referral to specialized STD care. nPEP complete 28-day course should be available by prescription, with either on-site follow-up care or referral, with first appointment made while the patient is on site. Provision of the complete 28-day nPEP medication supply at the initial visit rather than a starter pack of 3–7 days has been reported to increase likelihood of adherence, especially when patients find returning for multiple follow-up visits difficult.
EVALUATION
Proctitis	Evaluation for proctitis might include visual examination of the anus, anorectal examination with a rectal swab, digital anorectal exam, or anoscopy. For specialized STD care, high-resolution anoscopy might be included.
LABORATORY
At the time of patient visit	"At the time of patient visit" refers to providing a service the same day of the patient encounter. The intent is for a patient to receive test results prior to the conclusion of a clinic visit to ensure same day diagnosis and initiation of treatment as needed.
Test for trichomoniasis	On-site test for trichomoniasis can include wet mount microscopy and OSOM® Trichomonas.
Test for bacterial vaginosis	On-site test for bacterial vaginosis can include wet mount microscopy, OSOM® BVBlue®, and Affirm™.
Test for vulvovaginal candidiasis	On-site test for vulvovaginal candidiasis can include wet mount microscopy.
Gonorrhea antimicrobial susceptibility testing	Access needs to be established for transport medium that adequately maintains the viability of Neisseria gonorrhoeae until the specimen reaches a laboratory (e.g., transport medium in transport container, transport system, or transport swab). Providers should contact their state or local health department if they have concerns about resistant N. gonorrhoeae infection or if assistance is required for culture and antimicrobial susceptibility testing.
TREATMENT
Gonorrhea	Providers might not receive reimbursement for oral medications without an on-site pharmacy. Providers can partner with local organizations, such as the local health department and community-based organizations, to procure oral medications or refer patients to local organizations.
Chlamydia	Providers might not receive reimbursement for oral medications without an on-site pharmacy. Providers can partner with local organizations, such as the local health department and community-based organizations, to procure oral medications or refer patients to local organizations.
Nongonococcal urethritis	Providers might not receive reimbursement for oral medications without an on-site pharmacy. Providers can partner with local organizations, such as the local health department and community-based organizations, to procure oral medications or refer patients to local organizations.
Syphilis	Providers can partner with local health departments to procure injectable benzathine penicillin G or refer patients to local health department and verify treatment.
Emergency contraceptive pills	If emergency contraceptive pills are not available on site or by prescription, patients can be advised that levonorgestrel emergency contraceptive pills are available over the counter and ulipristal acetate emergency contraceptive pills are only available by prescription. Emergency contraceptive pills should be taken as soon as possible within 5 days of unprotected sex.
EPT for gonorrhea and chlamydia	Information on the legal status of EPT for each state is available at https://www.cdc.gov/std/ept/legal/default.htm.
PARTNER SERVICES
Partner services	Partner services consist of various strategies with differing levels of time and effort to enable persons who are exposed to an STD to be identified, tested, and treated. (Refer to the 'Partner Services' section of the Recommendations for additional information.)
Guidance regarding notification and care of sex partners	Guidance regarding notification and care of sex partners is described as providers giving how-to information to their patients about the need to notify their sex partner(s) of the exposure, the need for sex partner(s) to seek care and treatment even if they do not have symptoms, and where partner(s) could go for STD care. (Refer to the 'Partner Services' section of the Recommendations for additional information.)
EPT (where legal and where local or state jurisdictions do not prohibit by regulation)	Expedited Partner Therapy (EPT), also termed patient-delivered partner therapy (PDPT), is the clinical practice of treating the sex partner(s) of persons who receive chlamydia or gonorrhea diagnoses by providing medications or prescriptions to the patient. Patients then provide partner(s) with these therapies without the health care provider having examined the partner(s) (see www.cdc.gov/std/ept). Information on legal status of EPT for each state is available at http://www.cdc.gov/std/ept/legal/default.htm.
Interactive counseling for partner notification	In interactive counseling, the provider and patient both actively participate in an individualized plan to notify the patient’s sex partner(s). Interactive counseling typically is conducted by staff with specific training or skills in communication, interviewing, or counseling. The patient provides information about their sex partner(s) and develops a plan with the counselor to notify partner(s).
DIS	A disease intervention specialist (DIS) is a public health professional with applied expertise in client-centered interviews; partner services that include contact tracing, directly observed therapy, field specimen collection, and field investigation in outbreaks; and navigation of health care systems to ensure patient evaluation and treatment, among other areas. (Refer to the 'Partner Services' section of the Recommendations for additional information.)
Health department DIS elicitation of sex partner information to identify those who might have been exposed and to identify patient follow-up needs	Partner services can be provided on site or by referral.