Get Request For Hiv Prevention Program Reports - California ...

Completing the Request For HIV Prevention Program Reports form is essential for accessing critical data on HIV prevention efforts in California. This guide will provide you with clear, step-by-step instructions on how to fill out this form online effectively.

Follow the steps to successfully complete the request form.

1. Click the ‘Get Form’ button to access the Request For HIV Prevention Program Reports, which will open in your preferred online editor.
2. Begin by filling in your requestor information, including your name, title, and organization. Ensure that all contact details, including your telephone number, fax number, and email address, are accurate for effective communication.
3. Input the date of your request and the desired date for completion of your data request. Make sure that the dates follow the mm/dd/yyyy format.
4. Indicate the purpose of your data request by marking all appropriate options such as Internal Health Department Use Only, Needs Assessment, Grant/Proposal Application, Community Planning, Research, or Other.
5. Specify the geographic areas you’re interested in, whether it be statewide, specific counties, or local health jurisdictions. Clearly define these to help target your request effectively.
6. Select the program of interest, as options include Counseling & Testing, Health Education/Risk Reduction, and Partner Services. You can also specify agencies or interventions if needed.
7. Provide the time period for which you are requesting data, making sure to use the mm/dd/yyyy format for both the start and end dates.
8. In the section describing the information you are requesting, be specific about your needs. For example, mention if you are looking for test results segmented by race/ethnicity or the number of client interactions categorized by intervention.
9. If there are any additional notes you would like to add, such as grouping results by agency or intervention type, include this information in the designated section.
10. Finally, review the agreement statement regarding data use and ensure you understand the constraints. After confirming all entries are accurate, save your changes, and either download or print the completed form for submission.

Complete the Request For HIV Prevention Program Reports form online today to access vital data for your initiative.