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HIV/AIDS Case Reporting Forms 

CDPH 8532

Request for HIV/AIDS Summary Data *Due to staffing shortages at the Office of AIDS, please allow 60 days for completion of data requests.

CDPH 8641 A

Adult HIV/AIDS Confidential Case Report

CDPH 8641 P

Pediatric HIV/AIDS Confidential Case Report

CDPH 8681

HIV Testing and Antiretroviral Use History

CDPH 8689

HIV/AIDS Confidentiality Agreement

CDPH 8713

California HIV/AIDS case Reporting System Data use and Disclosure Agreement

AIDS Forms Home

 
 
Last modified on: 11/28/2011 6:02 PM