Get the free WIHS Screening Form version 8-15-94 - statepiaps jhsph

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: 0 5 / 22 / 1 3 A5.

How to fill out wihs screening form version

How to fill out wihs screening form version:

1. Start by reading the instructions provided with the form. Familiarize yourself with the purpose of the screening and the information it aims to collect.
2. Gather all the necessary documents and information before starting to fill out the form. This may include personal identification, medical history, and contact details.
3. Begin by filling out the personal information section, including your name, address, date of birth, and any other required details.
4. Move on to the medical history section. Answer all the questions honestly and accurately, providing any relevant information about your past or current medical conditions, medications, allergies, or surgeries.
5. If the form includes a section on lifestyle habits, such as smoking or alcohol consumption, provide the requested information accordingly.
6. Proceed to complete any additional sections or questions specified in the form. Follow the instructions carefully, ensuring that you provide all the necessary information.
7. Once you have filled out all the sections, review the form thoroughly to check for any errors or missing information. Make any necessary corrections or additions.
8. Finally, sign and date the form as required. If there are any other signatures needed, ensure that those are obtained as well.
9. Keep a copy of the completed form for your records before submitting it as instructed.

Who needs wihs screening form version:

1. Individuals who are participating in the WIHS (Women's Interagency HIV Study) program may need to fill out the WIHS screening form version. The WIHS aims to study the natural history of HIV infection in women, focusing particularly on the impact of HIV on women's health.
2. Participants in the WIHS program are typically women who are living with HIV or who are at risk of HIV infection. They may include individuals from diverse backgrounds and communities.
3. The WIHS screening form version helps collect important information about the participants, including their medical history, lifestyle habits, and other relevant details. This information is crucial for the ongoing research and monitoring conducted by the WIHS program.
4. The WIHS screening form version may also be required for individuals who wish to enroll in certain research studies, clinical trials, or healthcare programs associated with the WIHS.
5. Ultimately, the specific requirements for filling out the WIHS screening form version may vary depending on the purpose of the study or program in which the participant is involved. It is important to carefully read the instructions provided with the form to ensure accurate and complete completion.

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