Get Test Rapid

Filling out the Test Rapid form is an essential step in tracking HIV test results and ensuring timely care for individuals. This guide provides clear, step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to successfully fill out the Test Rapid form:

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the Client ID number in the designated field at the top of the form.
3. Fill in the date of the test in the provided space.
4. Enter the First Test Site ID number and the name of the First Test Site.
5. Provide the First Test Site Counselor's name and contact number.
6. Select the type of First Rapid HIV Test you conducted, marking the appropriate box next to ‘OraQuick,’ ‘Clearview STAT-PAK,’ ‘Determine,’ or ‘Other.’
7. Record the result of the First Rapid HIV Test in the specified field, indicating if the result is positive or negative.
8. Circle the specimen type that was used for testing: Oral, Fingerstick, or Venipuncture.
9. Enter the Test Kit Lot Number in the space provided.
10. If this form is for Single Rapid Test Sites or Non-Clinical Rapid Test Sites, ensure to carry it to the site of the second test and confirm its return to the first test site.
11. For the Second Rapid HIV Test Result section, repeat the process of entering the date and relevant site information if the Second Test Site differs from the First Test Site.
12. Document the Second Test Site ID Number, Site Name, Counselor Name, and Counselor Number.
13. Indicate the type of second HIV test, marking the result appropriately.
14. Select the specimen type for the second test using the same circling method as before.
15. If both tests are positive, record the date mailed and the name of the person mailing the Evaluation Web Result Form.
16. Follow the instructions for any discordant results, ensuring to document required actions and to contact the necessary support services.
17. If the appointment was kept, indicate it in the designated field; otherwise, provide a reason for missed appointments.
18. Finally, ensure that the completed form is faxed to the designated number provided before submission.

Complete your documents online to ensure accurate tracking and care.