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This page containes documents to assist agencies and individuals who PROVIDE HIV prevention servies in the state of Utah. Please notify the webmaster if you have any questions or problems with any of the following documents.
Manuals/Reference Utah HIV/AIDS, STD and Hepatitis C Resource Directory Updated 2011 HIV Testing Forms How to Become a UDOH HIV Testing Site Intake Form 2012 - EvaluationWeb HIV Test Form- Part ONE 2012 - EvaluationWeb HIV Test Form- Part TWO Interview Record PDF Interview Record: Codes, Instructions, Tutorial Link Positive Living Guide - English Positive Living Guide - Spanish Rapid HIV/HCV Testing Documents and Forms Rapid HIV/HCV Testing – Procedures Guide, 2010 Rapid HIV/HCV Testing - Lab start-up check-list Clearview Complete HIV 1/2 Antibody Test Product Insert Subject Information Pamphlet OraQuick HIV 1/2 Antibody Test Product Insert Subject Information Pamphlet OraQuick HCV Antibody Test Product Insert HIV and HCV Lab Sheet HIV and HCV Rapid CONTROL Kit Storage HIV and HCV Rapid TEST Kit Storage HIV and HCV Day of Test Log (10/sheet) HIV and HCV Day of Test Log (25/sheet) Data Collection Forms Data Extract Guide Data Extract - HEADERS Data Variables & Values Aggregate HCPI Aggregate HERR Outreach Client Level HERR - client administered Client Level HERR - provider administered Client Level HERR - data entry Client Level Session Data Client Recruitment PEMS Client Referral Session Details Reporting Forms Quarterly Narative Cover Sheet 2010 Quarterly Narative Report Form 2010 Billing and Expense Forms 2012 Grantee Billing Forms Expense Report Forms Other "Is It On Your List?" Poster Template - English "Is It On Your List?" Poster Template - Spanish Content of AIDS-related Materials Public Information Proof Approval Form Grant General Provisions
Manuals/Reference Utah HIV/AIDS, STD and Hepatitis C Resource Directory Updated 2011
HIV Testing Forms
How to Become a UDOH HIV Testing Site Intake Form 2012 - EvaluationWeb HIV Test Form- Part ONE 2012 - EvaluationWeb HIV Test Form- Part TWO Interview Record PDF Interview Record: Codes, Instructions, Tutorial Link Positive Living Guide - English Positive Living Guide - Spanish
Rapid HIV/HCV Testing Documents and Forms
Rapid HIV/HCV Testing – Procedures Guide, 2010 Rapid HIV/HCV Testing - Lab start-up check-list
Clearview Complete HIV 1/2 Antibody Test Product Insert Subject Information Pamphlet OraQuick HIV 1/2 Antibody Test Product Insert Subject Information Pamphlet OraQuick HCV Antibody Test Product Insert HIV and HCV Lab Sheet HIV and HCV Rapid CONTROL Kit Storage HIV and HCV Rapid TEST Kit Storage HIV and HCV Day of Test Log (10/sheet) HIV and HCV Day of Test Log (25/sheet)
Clearview Complete HIV 1/2 Antibody Test Product Insert Subject Information Pamphlet
OraQuick HIV 1/2 Antibody Test Product Insert Subject Information Pamphlet
OraQuick HCV Antibody Test Product Insert HIV and HCV Lab Sheet HIV and HCV Rapid CONTROL Kit Storage HIV and HCV Rapid TEST Kit Storage HIV and HCV Day of Test Log (10/sheet) HIV and HCV Day of Test Log (25/sheet)
Data Extract Guide Data Extract - HEADERS Data Variables & Values Aggregate HCPI Aggregate HERR Outreach Client Level HERR - client administered Client Level HERR - provider administered Client Level HERR - data entry Client Level Session Data Client Recruitment PEMS Client Referral Session Details
Reporting Forms
Quarterly Narative Cover Sheet 2010 Quarterly Narative Report Form 2010
Billing and Expense Forms 2012 Grantee Billing Forms Expense Report Forms
Other "Is It On Your List?" Poster Template - English "Is It On Your List?" Poster Template - Spanish Content of AIDS-related Materials Public Information Proof Approval Form Grant General Provisions
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