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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.
Reference Utah HIV/AIDS, STD and Hepatitis C Resource Directory Updated 2011 2013 Utah HIV Prevention Grantee Provider List HIV Testing Forms How to Become a UDOH funded Rapid 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, 2012 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 Public Information and Marketing Content of AIDS-related Materials Public Information Proof Approval Form "Is It On Your List?" Poster Template - English "Is It On Your List?" Poster Template - Spanish Grant Agreements Grant General Provisions
Reference Utah HIV/AIDS, STD and Hepatitis C Resource Directory Updated 2011 2013 Utah HIV Prevention Grantee Provider List
HIV Testing Forms
How to Become a UDOH funded Rapid 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, 2012 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
Content of AIDS-related Materials Public Information Proof Approval Form "Is It On Your List?" Poster Template - English "Is It On Your List?" Poster Template - Spanish
Grant Agreements
Grant General Provisions
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