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Appointment Information: Assigned Appointment Number Initial Appointment: Followup Appointment: Date / / Time Date / / Time HIV EDUCATION, COUNSELING & TESTING PROGRAM Please complete these forms
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How to fill out revised HIV Formdoc:

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Start by carefully reading through the instructions provided on the form. Make sure you understand the purpose of each section and the information required.
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Begin filling out the form by entering your personal details, such as your name, date of birth, and contact information. Ensure that all information is accurate and up to date.
03
Move on to the section where you need to provide your medical history. This includes information about any previous HIV tests, treatment, or medications you have taken. Be thorough and provide as much detail as possible.
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In the next section, you may be asked about your potential exposures to HIV, such as sexual encounters or drug use. Answer honestly and provide any relevant information that may be helpful for assessment.
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The form may also have a section where you need to provide information about your current sexual partners or contacts. Again, be truthful and provide accurate information.
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If the form includes a section about your demographics or social history, answer accordingly. This may include questions about your race, ethnicity, education, employment, or housing situation.
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Finally, review the completed form for any errors or omissions. Make sure all sections are filled out completely and legibly.
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Once you are satisfied with the accuracy of the information provided, sign and date the form as required. Follow any additional instructions provided to submit the form to the appropriate authority or healthcare provider.

Who needs revised HIV Formdoc:

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Individuals who have previously filled out an HIV Formdoc and are required to update their information.
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Healthcare providers or professionals who need the updated information for proper medical assessment and care.
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Any person who has a potential exposure to HIV and needs to document their history and current situation for testing or treatment purposes.
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