Get the free Expanded HIV Testing for Disproportionately Affected Populations - cdph ca

CENTERS FOR DISEASE CONTROL AND PREVENTION National Center for HIV/AIDS, Viral Hepatitis, STD, & TB Prevention Division of HIV/AIDS Prevention Expanded HIV Testing for Disproportionately Affected

How to fill out expanded hiv testing for

How to Fill Out Expanded HIV Testing Form:

Start by providing your personal information:

1. Fill in your full legal name
2. Provide your date of birth
3. Enter your gender identity
4. Include your contact information, such as phone number and email address
5. If applicable, mention your preferred method of contact

Next, provide your demographic information:

1. Specify your race or ethnicity
2. Indicate your sexual orientation
3. Include your current residential address
4. State your preferred language for communication

Mention your sexual history:

1. Answer questions about your sexual activity, including the number of sexual partners you've had
2. Specify the type of sexual activity you have engaged in (oral, anal, vaginal)
3. Indicate if you have had sexual contact with someone known to have HIV or another sexually transmitted infection (STI)

Report your medical history:

1. Detail any previous or current sexually transmitted infections or other infectious diseases
2. Mention any past or ongoing illnesses or medical conditions
3. Provide information about any medications you are currently taking, including HIV treatment or preventive medications (PrEP)

Answer questions related to drug use:

1. Inform if you have ever injected drugs and if you currently do
2. Specify the type of drugs you have used or currently use
3. Indicate if you share needles or other drug paraphernalia

Discuss recent potential exposures to HIV:

1. State if you have had unprotected sex or condom breakage with a partner whose HIV status is unknown or positive
2. Provide details regarding any potential exposure incidents, such as sexual assault or occupational exposure

Finally, sign and date the form:

1. Read through the form carefully and ensure all the information provided is accurate
2. Sign and date the form to certify that you have completed it truthfully and to the best of your knowledge

Who Needs Expanded HIV Testing For?

Expanded HIV testing is generally recommended for individuals who:

Engage in high-risk behaviors:

1. Individuals who have multiple sexual partners, particularly if condom use is inconsistent or nonexistent
2. Those who engage in unprotected sex, especially with partners whose HIV status is unknown or positive
3. People who use injecting drugs, especially if they share needles or other drug paraphernalia

Have had potential exposure incidents:

1. Individuals who have experienced condom breakage during sexual activity
2. Those who have been sexually assaulted or have engaged in any other form of non-consensual sexual contact
3. Healthcare workers or others who may have experienced occupational exposure to HIV-contaminated materials

Are seeking preventive measures:

1. Individuals who are interested in accessing HIV treatment as prevention (TasP) or pre-exposure prophylaxis (PrEP)
2. Those who have recently stopped using PrEP but are uncertain about their current HIV status

It is important to note that recommendations for expanded HIV testing may vary depending on specific guidelines and regulations in your country or region. It is best to consult with healthcare professionals or HIV testing centers to determine if you should undergo expanded HIV testing.

For pdfFiller’s FAQs

What is expanded HIV testing for?

Expanded HIV testing is for increasing access to HIV testing and diagnosis in order to identify more individuals with HIV and link them to care and treatment.

Who is required to file expanded HIV testing for?

Healthcare facilities and providers who offer HIV testing services are required to file expanded HIV testing reports.

How to fill out expanded HIV testing for?

Expanded HIV testing reports can be filled out electronically through the designated reporting system provided by the local health department.

What is the purpose of expanded HIV testing for?

The purpose of expanded HIV testing is to help reduce the spread of HIV by identifying individuals who are HIV positive and ensuring they receive appropriate care and treatment.

What information must be reported on expanded HIV testing for?

Expanded HIV testing reports typically include demographic information of individuals tested, test results, testing location, and other relevant details.

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