Get Partner Information Form - Cdph 8458 P (pdf) - Cdph Ca

Completing the Partner Information Form - CDPH 8458 P is an important step in providing essential partner notification and support services. This guide will walk you through each section of the form, making it easier for you to fill it out accurately and effectively.

Follow the steps to successfully complete the form online:

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred PDF viewer or editor.
2. Indicate the linking ID type by marking one of the provided options, including C&T client number or ARIES number.
3. Fill in the linking ID number and partner number as required.
4. Provide information about the initiating provider by entering the date the Partner Information Form was initiated, the counselor ID, and the agency contact/phone number.
5. Select the notification type by marking whether it is an anonymous third-party notification or a dual notification session.
6. Enter partner identifying information, including the name of the person being notified and any nicknames or AKAs.
7. Record the current gender identity of the person being notified by marking the appropriate option from the provided options.
8. If the partner is female, indicate if they are pregnant and whether they are in prenatal care.
9. Fill out the current address, city, state, and zip code of the partner.
10. Provide the best day and time to locate the partner at the given address.
11. Complete the additional identifying information, including glasses, hair color, primary language spoken, and distinguishing features.
12. In the exposure information section, provide the number of exposures, dates of first and last exposure, and the type of exposure.
13. Conclude by reviewing all entered information for accuracy, then save changes, download, print, or share the completed form as needed.

Complete the Partner Information Form online today to ensure accurate partner notification and support.