Get Nj Hiv Positive Tracking Form 2017-2025

The NJ HIV Positive Tracking Form is an essential document used to track individuals who receive a positive HIV diagnosis. Filling it out accurately is crucial for ensuring proper patient care and follow-up. This guide provides a clear, step-by-step approach to completing the form online.

Follow the steps to successfully complete the NJ HIV Positive Tracking Form online:

1. Press the ‘Get Form’ button to access the NJ HIV Positive Tracking Form and open it in your preferred editor.
2. Begin by entering the 'Client ID #' in the designated field to uniquely identify the individual.
3. Fill in the 'Date' field with the date of the first rapid HIV test.
4. Complete the 'First Test Site ID Number' and 'First Test Site Name' fields to provide information about where the test was conducted.
5. Enter the 'First Test Site Counselor Name' and 'First Test Site Counselor Number' to document the counselor responsible for the test.
6. Select the 'First Rapid HIV Test Type' by checking the appropriate box for Determine, INSTI, or Other.
7. Indicate the result of the first test by checking the boxes for either Positive HIV 1/2 Antibody or Positive HIV Antigen.
8. Circle the specimen type used for the test: Oral, Venipuncture, or Fingerstick.
9. Record the 'Test Kit Lot Number' as required.
10. If the result indicates Positive Antigen Only, follow the instructions for confirmation and referral for care without validating the result with rapid tests.
11. Proceed to fill in the details for the 'Second Rapid HIV Test Result', including the date and any relevant notes if not completed.
12. If the second test site differs from the first, provide the necessary 'Second Test Site ID Number' and counselor information.
13. Select the 'Second HIV Test Type' and circle the relevant specimen type.
14. Fill in the 'Second Test Site Name' and 'Second Test Site Counselor Name'.
15. Document the test result and the necessary follow-up actions, including whether tests were both positive or if there were discordant results.
16. Complete the referral to treatment section with details about the client’s appointment.
17. Provide the necessary confirmatory laboratory results in the final section.
18. Once all fields are completed, save your changes, and either download, print, or share the form as needed.

Start filling out the NJ HIV Positive Tracking Form online today for efficient and effective tracking.