Hiv test form pdf
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Hiv test form pdf
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HB/HC/HIV TEST CONSENT FORM (please print): Patient nameWhich blood test is to be taken YES/NO How long before results are back YES/NO Who will give the results CONSENT FORM (SEROLOGY) This is not a test for AIDS. This is a test for antibodies to the virus named HIV. A counselor has told me what a negative or positive test result HIV CONSENT FORM You are being asked to consent to a test for HIV antibodies on a sample of your blood. HIV testing is important for your health, especially for pregnant women. The only way to know if you have HIV is to • A positive HIV test means that a person is infected with HIV and can transmit the virus by having sex, sharing needles, childbearing (from mother to child), breastfeeding, or HIV-Specific Model Consent Form Informed Consent to Perform HIV Testing My health care provider has answered any questions I have about HIV/AIDS. Several testing options are available, including anonymous and confidential following details about HIV testing: HIV is the virus that causes AIDS and can be transmitted through unprotected sex (vaginal, anal, or oral sex) with someone who has HIV; contact with blood as in sharing needles (piercing, tattooing, drug equipment including needles) • Blood, or another body fluid or tissue sample, will be tested for human immunodeficiency virus (HIV) infection; Consent to be tested for HIV, the virus that causes AIDS, should be given FREELY; Results of this test, like all medical records, are confidential, but confidentiality cannot be guaranteed; and the following details about HIV testing; HIV is the virus that causes AIDS and can be transmitted through unprotected sex (vaginal, anal, or oral sex) with someone who has HIV; contact with blood as in sharing needles (piercing, tattooing, drug equipment including needles), by HIV-infected pregnant women to HIV is the the following details about HIV testing; HIV is the virus that causes AIDS and can be transmitted through unprotected sex (vaginal, anal, or oral sex) with someone who has GENERAL INSTRUCTIONS FOR COMPLETING THE HIV TEST FORM The legibility of this form depends on the quality of the hand-written and selected information. This test determines whether there is a presence of HIV antibodies within a patient’s body The only way to know if you have HIV is to be tested. Consent can be withdrawn at any time. This interval between exposure to the virus and appearance of detectable antibodies is called the window period An HIV informed consent form is used to allow a medical professional to perform an HIV antibody test on a patient. It should help you ide whether you want to take the test Antibodies to HIV begin to appear afterweeks of infection but detectable antibodies appear withinmonths of exposure to the virus. *HIV: Human Immunodeficiency Virus. HIV testing is voluntary. A specimen using other testing HIV testing and has given me written information with the following details about HIV testing: HIV is the virus that causes AIDS. This form explains the test and how the test results can be used. HIV is the virus believed to cause AIDS. Before you receive an HIV antibody test, you must give your consent. I have been provided HIV CONSENT FORM I have been offered the blood test for detection of antibodies to the Human Immunodeficiency Virus (HIV) performed by an outside laboratory. HIV. An invalid test result resulting from a rapid finger stick can be due to a problem running the test or an interfering substance in the specimen. Antibodies are Informed Consent to HIV* Antibody Test.
