Accessibility Note: This site uses JavaScript menus, but not for animation. All menus should be accessible with JavaScript activated.

HIV/HCV Prevention Provider Resources

This page contains documents to assist agencies and individuals who provide HIV and Hepatitis C prevention services in the state of Utah


Rapid HIV/HCV Testing Guidance and Forms - (Updated 4/1/16 to include Determine HIV 1/2 Combo)

Rapid HIV/HCV Testing – Procedures Guide 2016
Utah Hepatitis C Testing Tool Kit
Rapid HIV/HCV Testing - Lab start-up check-list
HIV and HCV Rapid CONTROL Kit Storage Daily Temperature Log
HIV and HCV Rapid TEST Kit Storage Daily Temperature Log
HIV and HCV Lab Sheet
HIV and HCV Day of Test Log

General HIV Prevention Grantee Documents

2016 - HIV Prevention Quarterly Report
Evaluation Web NON Testing Form

2016 - Billing Invoice - Comprehensive Prevention With Positives
2016 - Billing Invoice - Comprehensive Risk Counseling Services
2016 - Billing Invoice - Targeted HIV Testing
2016 - Billing Invoice - Condom Distribution and Referral

CDC Data Systems Rules of Behavior - System Administrator
CDC Data Systems Rules of Behavior - Authorized User

Content of AIDS-related Materials
Public Information Proof Approval Form

UDOH Confidential Access and Confidentiality Directive
UDOH FFATA Worksheet
UDOH Grantee Assurances
UDOH Grant General Provisions



Utah Department of Health
Bureau of Epidemiology
Fax: 801-538-9913
288 North 1460 West
PO Box 142104
Salt Lake City, Utah 84114-2104

24-Hour Urgent Event & Disease Reporting

1-888-EPI-UTAH (374-8824)

Regular Business Hours:

Monday - Friday
8:00 a.m. - 5:00 p.m.

Site Map

Social Media