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Office of AIDS
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HIV/AIDS Surveillance Case Reporting/Confidentiality and Agreement Forms
Office of AIDS
HIV/AIDS Surveillance Case Reporting/Confidentiality and Agreement Forms
Confidentiality and Agreement Forms
HIV/AIDS Confidentiality Agreement (CDPH 8689) (PDF)
California HIV/AIDS Case Reporting System Data Use and Disclosure Agreement - CDPH 8713 (PDF)
HIV/AIDS Surveillance Case Reporting Forms
Adult Form for Reporting HIV Infection by Name (CDPH 8641A) (PDF)
Pediatric HIV/AIDS Confidential Case Report (CDPH 8641 P) (PDF)
You may also be interested in:
Data Use and Disclosure Agreement (DUA) and Related Documents and Forms
Office of AIDS Forms
HIV/AIDS Reporting Home
Office of AIDS Home
Last modified on: 4/25/2012 11:24 AM