Get Nj Hiv Positive Tracking Form 2015

Filling out the NJ HIV Positive Tracking Form online is a crucial step in documenting positive HIV test results and ensuring proper patient referrals. This guide will provide detailed steps to help you navigate the form with ease and accuracy.

Follow the steps to complete the NJ HIV Positive Tracking Form online.

1. Click 'Get Form' button to obtain the form and open it in the designated editor.
2. In the first section, enter the Client ID number in the provided space. This ID is vital for tracking the individual’s test results.
3. Enter the date of the first rapid HIV test in the designated field. Ensure this is accurate as it records the result time frame.
4. Fill in the First Test Site ID number and the name of the test site. This information is essential for identifying where the test was conducted.
5. Provide the name and counselor number of the first test site counselor in the appropriate fields. This helps maintain a connection with the support resources.
6. Select the type of first rapid HIV test from the options provided, marking the appropriate choice clearly.
7. Indicate the result of the first rapid HIV test, making sure to specify whether it is positive for HIV 1/2 Antibody or any other type.
8. In the section for specimen type, circle the relevant option (oral, fingerstick, or venipuncture) to indicate how the test was conducted.
9. Document the test kit lot number to ensure traceability of the testing materials used.
10. The form must be taken to the second test site. Ensure that it accompanies the patient for further testing and is returned to the first site afterward.
11. For the second rapid HIV test result, repeat the same process: enter the date, second test site information, and counselor details as needed.
12. Mark the second HIV test type and indicate the result. It is crucial to maintain consistency between test results and protocols.
13. In this section, document any outcomes related to both tests—positive, negative, or discordant results—ensuring to follow the specified instructions for each case.
14. For client referrals to treatment, fill in the dates regarding referral and appointment along with the status of whether the appointment was kept or not.
15. Finally, save the changes, download the completed form, print a copy for your records, or share it as necessary.

Complete the NJ HIV Positive Tracking Form online to ensure timely documentation and referrals for care.