HIV/AIDS Epidemiology Unit - HAEU

Health Care Provider Toolkit

For more information send us an email or phone 619-692-8545.

This toolkit contains online forms for reporting HIV and AIDS as well as other aides and information related to reporting.

Reporting Forms

• State Adult HIV/AIDS Case Report Form
• HIV Only Adult Case Report Form
• State Pediatric HIV/AIDS Case Report Form

*NEW*  HIV Incidence Surveillance (HIS)

To help estimate the number of new HIV infections per year, please collect the information on the form below (a brief testing and treatment history) and attach it to the case report form.  Please collect this for each new patient.

HIS Testing and Treatment Form (fill-in)

For the STD Monthly Report with a section about HIS, please click here.

For more information about HIS, please click here.

2006 HIV Reporting Changes and Provider/Patient Information

• Letter from the Public Health Officer
• Physicians' Bulletin
• Sample Patient Notification Poster (click here for poster in Spanish)
• Sample Patient Disclosure Statement
• State Office of AIDS link for more information about HIV Reporting

Other Documents/Links

• 2008 CDC Revised Surveillance Case Definitions for HIV Infection
• 1993 CDC Revised Classification for HIV Infection and Expanded Case Definition
• 1999 CDC Guidelines for HIV Surveillance (see appendix for case definition)
• 1994 CDC Revised Classification System for HIV in Children

For more information send us an email or phone 619-692-8545.