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  • Luther Consulting Hiv Test Template Evaluationweb 2018

Get Luther Consulting Hiv Test Template Evaluationweb 2018

Client County (3-digit FIPS code) PS15-1506 PrIDE Client ZIP Code PS15-1509 THRIVE PS19-1901 CDC STD PS17-1711 Other CDC funded PS18-1802 Other non-CDC funded Client Ethnicity Hispanic or Latino Not Hispanic or Latino Specify Other (optional) Client Race (select all that apply) American Indian/Alaska Native Asian Black/African American Native Hawaiian/Pacific Islander Agency Name or ID Site Name or ID Don t know Declined to Answer White Not Specified Declined to Answer Don t K.

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How to fill out the Luther Consulting HIV Test Template EvaluationWeb online

This guide provides detailed, step-by-step instructions on completing the Luther Consulting HIV Test Template EvaluationWeb online. Whether you are a first-time user or seeking clarification on specific sections, this comprehensive resource is designed to assist you in navigating the form easily and accurately.

Follow the steps to complete the HIV test template effectively.

  1. Click the ‘Get Form’ button to access the HIV Test Template and open it for editing.
  2. Begin by entering the agency and client information. This includes the session date, client state (using USPS abbreviation), program announcement, and client county (3-digit FIPS code). Ensure all fields marked as required are filled out completely.
  3. Proceed to the client demographics section, where you will select the client’s ethnicity and race. Options provided will allow you to specify categories that accurately reflect the client’s identity.
  4. Fill in the agency name or ID and site details, including ZIP code and county information. It is essential to capture accurate site type codes as specified in the guidelines.
  5. Complete the section regarding the client's assigned sex at birth and their current gender identity. Ensure to provide options accordingly and respect the terminology used by the client.
  6. Indicate whether the client has previously undergone an HIV test, and if so, include their year of birth. If unknown, enter '1800'.
  7. In the final test information section, specify the preferred HIV test election (anonymous or confidential). Include the test type and results if applicable. Each subfield requires careful consideration based on the client’s results.
  8. For clients testing positive, provide additional details such as attendance at medical appointments and the structured response for PrEP eligibility screenings. Include whether referrals were made and services offered.
  9. Review sections on housing status and any support services offered to the client. This includes insurance types and specifics about referrals given.
  10. After all information is entered, save changes to the form. Options to download, print, or share the form will be available depending on further actions required.

Complete your documents online today to ensure effective management and processing.

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Related content

EvaluationWeb® 2018 HIV Test Template
CDC 50.135b(E),10/2007. Page 1 | 2018 EvaluationWeb® HIV Test Template | Revised...
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HIV Counseling, Testing, and Referral Protocol...
Jan 1, 2019 — When should HIV testing data be entered in EvaluationWeb? ... HIV testing...
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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232