To be completed monthly by Illinois hospital staff detailing the number of delivering people and syphilis documentation status.
Resources & Forms
CDPH Congenital Syphilis Case Report Form
The Chicago Department of Public Health's congenital syphilis case report form should be used for non-electronic reporting of cases.
Guide to Electronic Submission of Congenital Syphilis Case Reports to CDPH
The Chicago Department of Public Health features a comprehensive guide with instructions for how to electronically submit a congenital syphilis case report via their Chicago Health Information Management System (CHIMS).
IDPH STD Morbidity Report Form
The IDPH STD Morbidity Report Form should be completed and faxed to your local health department within seven days of disease diagnosis or treatment for presumed syphilis.
Repeat Third Trimester HIV Screening FAQ
This collection of frequently asked questions (FAQ) related to repeat third trimester HIV testing of pregnant people in Illinois was created to address common questions related to this change in state law that went into effect on January 1, 2018.
IDPH HB2800 Repeat Third Trimester HIV Screening Memo
On October 2, 2017 the Illinois Department of Public Health (IDPH) issued a memo regarding HB2800 and repeat third trimester HIV screening for pregnant people.
IDPH Third Trimester Repeat HIV Testing Update Training
This web-based training from the Illinois Department of Public Health (IDPH) is designed to cover updates to Public Act 100-0265 (HB 2800) which outlines legal mandates to third-trimester repeat HIV testing. This collaboration updates changes that have take place with the law regarding this…
Illinois HIV/AIDS Confidentiality and Testing Code
The State of Illinois' Joint Committee on Administrative Rules administrative code for HIV/AIDS confidentiality and testing.
IDPH Pediatric HIV/AIDS Case Report
Health care facilities caring for a newborn infant whose birth parent had been diagnosed with HIV 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 Registry Act and the…
IDPH Adult HIV/AIDS Case Report
Health care facilities caring for a pregnant or delivered patient who has been diagnosed with HIV 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 Act and the Illinois…
Perinatal HIV Reporting Requirements
The Perinatal HIV Prevention Act was most recently revised in 2017 with changes effective January 1, 2018. This is a summary of the reporting requirements for Illinois hospitals. All reporting must be done in compliance with the AIDS Confidentiality Act. Prenatal ProvidersMaternity…
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 people presenting, HIV documentation status, patients delivering in the ED as well as pregnant or delivering people and newborns rapidly tested in the ED. This form is required…
Rapid HIV Testing Monthly Report-Birthing Hospital
To be completed monthly by Illinois birthing hospital staff detailing the number of delivering people, HIV documentation status, and delivering patients and newborns rapidly tested in labor and delivery. This form is required by the state of Illinois.
Preliminary Positive Rapid HIV Test Report Form
To be completed by Illinois hospital staff for every preliminary positve rapid HIV test result and faxed to the Mother and Child Alliance. This rapid HIV testing form is required by the state of Illinois.