Get Fact And Figures Book Pdf Form

Filling out the Fact And Figures Book Pdf Form online can streamline the process, making it easier to submit important information accurately and efficiently. This guide will walk you through each step necessary to complete the form online seamlessly.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out the date fields accurately, including the sample date and the session date. Ensure that dates are formatted correctly as MM/DD/YYYY.
3. Input the KY sticker number and agency information, including the agency name and agency ID number. These identifiers ensure that your form can be traced back to your organization.
4. Provide the client’s birth year, state, county, and zip code. If the client’s birth year is unknown, you may enter 1800.
5. Choose the options for client ethnicity and race. Mark all that apply using a clear ‘X’. Make sure to include all relevant details.
6. Fill in the sections regarding the HIV tests performed. Indicate the test election and technology used, as well as the results for each test conducted.
7. Document the risk factors provided by the client, ensuring to check all applicable behaviors reported by the client in the past 12 months.
8. Complete the second part of the form if the client is confirmed HIV-positive. Include relevant follow-up information such as referrals to medical care and partner services.
9. Review all fields for accuracy and clarity. Use a blue or black ink pen to complete this form when finalized, if needed.
10. Save changes, download the completed form, print it if necessary, or share it as required to submit the information promptly.

Start completing the Fact And Figures Book Pdf Form online now for efficient document management.