AIDS

Report of Request for Appeal for HIV Testing

HIV Counseling Information Form

Client Assessment Questionnaire

Client Assessment Questionnaire

HIV Supplementary Information Form

Report of Request and Decision for HIV Testing

Report of Potential HIV Exposure to Law Enforcement Employees

Confidential Report of Court-Ordered HIV Testing

Ryan White Program CARE/HIPP Initial Application

Request for HIV/AIDS Summary Data *Due to urgent systems deployment tasks between December 2008 and July 2009, response to data requests may take longer than the standard 10 working days.

Ryan White Program CARE/HIPP Client Disclosure

Instructions for Completion of the AIDS Medi-Cal Waiver Program Medi-Cal Provider Application

Client Report CARE/HIPP

Financial Eligibility and Assets Certification Ryan White CARE/HIPP Program

Ryan White Program CARE/HIPP Quarterly Recertification

Month-End Agency Reimbursement Invoice for CARE/HIPP Enrollment Services, Part 1

Adult HIV/AIDS Confidential Case Report

Pediatric HIV/AIDS Confidential Case Report

LEO Health Education/Rise Reduction (HE/RR) Form

LEO Targeted Prevention Activity Short (TPA-S) Form

LEO Health Communication/Public Information Education (HC/PI-ED) Form

LEO Group Self Administered Questionnaire (GSAQ)

LEO Health Communication/Public Information Media (HC/PI-Media) Form

Protecting Yourself and Your Baby

Protecting Yourself and Your Baby

Protecting Yourself and Your Baby

Protecting Yourself and Your Baby

Protecting Yourself and Your Baby

Protecting Yourself and Your Baby

Protecting Yourself and Your Baby

Protecting Yourself and Your Baby

Protecting Yourself and Your Baby

Protecting Yourself and Your Baby

Protecting Yourself and Your Baby

Protecting Yourself and Your Baby

Protecting Yourself and Your Baby

Protecting Yourself and Your Baby

HIV/AIDS Confidentiality Agreement

ARIES User Registration Form

ARIES Forma de Consentimiento de Compartir/No Compartir

ARIES Client Share/Non-Share Consent Form

ADAP Medicare Part D Premium Payment Program Application

HIV Testing in Health Care Settings

HIV Testing in Health Care Settings (Arabic)

HIV Testing in Health Care Settings (Armenian)

HIV Testing in Health Care Settings (Chinese)

HIV Testing in Health Care Settings (Farsi)

HIV Testing in Health Care Settings (Hmong)

HIV Testing in Health Care Settings (Japanese)

HIV Testing in Health Care Settings (Khmer)

HIV Testing in Health Care Settings (Korean)

HIV Testing in Health Care Settings (Laotian)

HIV Testing in Health Care Settings (Russian)

HIV Testing in Health Care Settings (Spanish)

HIV Testing in Health Care Settings (Tagalog)

HIV Testing in Health Care Settings (Vietnamese)

Ryan White Program CARE/HIPP Physician's Statement