Resources & Forms

New/Updated

Preliminary Positive Data Report

To be completed by Illinois hospital staff for every preliminary positve rapid HIV test result and faxed to the Pediatric AIDS Chicago Prevention Initiative. This form is required by the state of Illinois.
New/Updated

Rapid HIV Testing Monthly Report-Birthing Hospital

To be completed monthly by Illinois birthing hospital staff detailing the number of delivering women, HIV documentation status, and women and newborns rapidly tested in labor and delivery. This form is required by the state of Illinois.
New/Updated

Rapid HIV Testing Monthly Report-Non Birthing Hospital

To be completed monthly by Illinois emergency department (ED)/non-birthing hospital staff detailing the number of pregnant women presenting, HIV documentation status, women delivering in the ED as well as pregnant or delivering women and newborns rapidly tested in the ED... - Read More

IDPH Adult HIV/AIDS Case Report

Health care facilities caring for a pregnant or delivered woman who has been diagnosed HIV-positive by a rapid HIV test on labor and delivery or through prenatal HIV testing shall report a case of diagnosed HIV infection in an adult in accordance with the HIV/AIDS Registry... - Read More

IDPH Pediatric HIV/AIDS Case Report

Health care facilities caring for a newborn infant whose mother had been diagnosed HIV-positive prior to labor and delivery, or whose confirmatory test result is positive for HIV infection shall report a case of HIV exposure in an infant in accordance with the HIV/AIDS... - Read More