Get the free WIHS Screening Form version 8-15-94 - statepiaps jhsph
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WOMEN'S INTERAGENCY HIV STUDY NEW RECRUITS SCREENING FORM (SCR) SECTION A: GENERAL INFORMATION A1. SCREENING ID: A2. WISED (if enrolled): - - - A3. VISIT NUMBER: A4. FORM VERSION: 04/01/12 A5. DATE
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01
Start by carefully reading through the entire form to familiarize yourself with the sections and questions.
02
Provide accurate and complete information in each section. This may include personal details such as name, contact information, and demographic information.
03
Answer all the questions honestly and to the best of your knowledge. It is important to provide accurate information as it will be used for assessment purposes.
04
Pay attention to any specific instructions or requirements mentioned for certain questions. This could include providing additional documents or medical records if requested.
05
If you are unsure about how to answer a specific question, seek clarification from the appropriate authority or healthcare professional before filling it out.
06
Double-check your information before submitting the completed form to ensure accuracy and completeness.
07
Keep a copy of the filled-out form for your own records.
Who needs wihs screening form version:
01
Individuals who are required to undergo the Wisconsin HIV Surveillance (WIHS) screening must fill out the WIHS screening form version.
02
This form is typically required for individuals seeking healthcare services, participating in certain research studies, or being evaluated for HIV-related programs in the state of Wisconsin.
03
Specific organizations, healthcare providers, and government agencies may request individuals to fill out the WIHS screening form version as part of their policies, procedures, or legal requirements related to HIV surveillance or prevention efforts.
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What is wihs screening form version?
The latest version of the WIHS screening form is version 3.0.
Who is required to file wihs screening form version?
All participants in the Women's Interagency HIV Study (WIHS) are required to file the screening form version.
How to fill out wihs screening form version?
Participants can fill out the WIHS screening form version by providing accurate information about their medical history, lifestyle, and demographic details.
What is the purpose of wihs screening form version?
The purpose of the WIHS screening form version is to assess the health status of participants and identify any potential risk factors for HIV.
What information must be reported on wihs screening form version?
Participants must report information such as their medical history, current medications, sexual behavior, substance use, and mental health status on the WIHS screening form version.
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