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Laws, Regulations and Rules

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Appendix A
Adult HIV/AIDS Confidential Case Report Form (DHAS-44)
[pdf 41k] (for viewing purpose only)

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Appendix B
HIV/AIDS Laboratory Report (DHAS-43) [pdf 16k] (for viewing purpose only)

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Appendix C
Pediatric HIV/AIDS Confidential Case Report (DHAS-45)
[pdf 47k]

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Appendix D
HIV Test Forms [pdf 2mb] (for viewing purpose only)

General Instructions for Completing the HIV Test Form
[pdf 218k] (for viewing purpose only)

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Appendix E
Instructions for HIV Reporting using the HIV Test Form [pdf 9k]

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Appendix F
Instructions for Submission of Positive HIV Diagnostic Specimens [pdf 2mb]
 
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Appendix G
Instructions for Electronic Submission of Laboratory Results Indicative of HIV Infection [pdf 3mb]

 

Page maintained by HIV/AIDS Services, PO Box 363, Trenton, NJ 08625-0363. Call New Jersey AIDS/STD Hotline at 800-624-2377 with your questions regarding HIV/AIDS or email.


Department of Health and Senior Services

P. O. Box 360, Trenton, NJ 08625-0360
Phone: (609) 292-7837
Toll-free in NJ: 1-800-367-6543
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Last Modified: Friday, 24-Apr-09 13:53:06