Get Nj Hiv Positive Tracking Form - Njhiv1.org

Filling out the NJ HIV Positive Tracking Form is essential for documenting HIV test results and facilitating referrals for treatment. This guide will provide clear instructions on completing the form accurately and online.

Follow the steps to complete the form effectively.

1. Press the ‘Get Form’ button to access the NJ HIV Positive Tracking Form and open it in your preferred online editor.
2. Begin by entering the client ID number and the date of the first rapid HIV test in the designated fields.
3. Fill in the first test site ID number and name of the site where the initial test was conducted.
4. Provide the name and number of the first test site counselor to ensure proper follow-up and communication.
5. Select the type of first rapid HIV test conducted from the options provided: Determine, INSTI, or Other.
6. Indicate the result from the available options: Positive HIV 1/2 Antibody or Positive HIV Antigen (Determine only).
7. Circle the specimen type used for the test: Oral, Fingerstick, or Venipuncture, and enter the test kit lot number.
8. If applicable, fill in the details about the second rapid HIV test, including the date, site information, and results.
9. Check the appropriate outcome for the second test: both tests positive, discordant result, or second test not done.
10. Enter the date the client was referred to treatment and the scheduled appointment information.
11. Document any reason for not keeping the appointment and the patient navigator’s name.
12. Complete any confirmation laboratory results section and fax numbers provided, according to instructions.
13. Once all sections are filled out, save your changes. You may also choose to download, print, or share the completed form as needed.

Complete your NJ HIV Positive Tracking Form online today for efficient processing and referral.