Get Hiv Patient Care Flow Sheet - Together We Can Stop Hiv Aids

This guide provides clear and supportive instructions on how to effectively fill out the HIV Patient Care Flow Sheet, designed to represent your health journey. Completing this form accurately helps ensure you receive proper care and support.

Follow the steps to fill out the HIV Patient Care Flow Sheet online.

1. Press the ‘Get Form’ button to access the form and open it in your document editor.
2. Fill in the 'Name of Patient' and 'Date of Birth' fields with the appropriate information using the format dd/mm/yyyy.
3. In the 'HIV/AIDS History' section, provide the 'Date of Initial Diagnosis' and indicate whether you have a confirmed result on file by selecting 'Yes' or 'No.' Include your age and sex.
4. Complete the 'PHN' field and detail any 'Other Medical History / Significant Co-Morbidities' you have. Indicate if you have been diagnosed with an AIDS defining illness and the date of diagnosis.
5. Select the mode of HIV transmission applicable to you from the options: MSM, IDU, heterosexual, or vertical.
6. Input your 'CD4 Nadir' results, including the date of the test and whether you have undergone an HIV drug resistance test, marking 'Yes' or 'No.'
7. Provide 'Height' and any relevant gynecological history, including pregnancy history, sexual health history, and whether you are sexually active.
8. Indicate substance use history, marking the status for smoking, alcohol, and any other substances used.
9. Document any allergies or intolerances you have in the respective section.
10. Detail your antiretroviral therapy history, including the start and stop dates of medications, and reasons for any discontinuation.
11. Record your HIV laboratory testing results, including CD4 count, CD4 fraction, and HIV plasma viral load.
12. Complete the screening section, noting the date and result for each test listed.
13. Record any immunizations received, along with dates and notes if applicable.
14. In the psychosocial information section, provide your housing status, income source, and information about your support network.
15. Document any HIV-related referrals, including the names of specialists, case managers, or support resources you may be connected with.
16. Complete the self-management section, detailing your strategies for medication adherence, symptom monitoring, physical activity, resource utilization, and more.
17. After reviewing all sections for accuracy, save your changes and choose to download, print, or share the form as needed.

Take the next step in managing your health by filling out the HIV Patient Care Flow Sheet online today.