Resources & Forms

New/Updated

Preliminary Positive Data Report

To be completed by Illinois hospital staff for every preliminary positive rapid HIV test result and faxed to the Mother and Child Alliance (formerly Pediatric AIDS Chicago Prevention Initiative). This form is required by the state of Illinois.

Guidelines for Voluntary HIV Testing in Illinois

A brief overview for clinicians about the HIV testing law and conducting voluntary HIV testing in Illinois. This fact sheet was prepared in August 2012 by the AIDS Legal Council of Chicago, the AIDS Foundation of Chicago, and the Pediatric AIDS Chicago Prevention... - Read More

Expedited Confirmatory HIV Testing Requisition

The 24/7 Illinois Perinatal HIV Hotline offers expedited confirmatory HIV testing at Northwestern Memorial Hospital’s Immunology Laboratory for calls to the Hotline in which an urgent confirmatory HIV test result is needed for clinical decision making.The specimens are... - Read More

Expedited Confirmatory HIV Testing Information

The 24/7 Illinois Perinatal HIV Hotline offers expedited confirmatory HIV testing at Northwestern Memorial Hospital’s Immunology Laboratory for calls to the Hotline in which an urgent confirmatory HIV test result is needed for clinical decision making. The specimens are... - Read More

Expedited HIV Viral Load Testing Requisition

The 24/7 Illinois Perinatal HIV Hotline facilitates expedited Viral Load tests (HIV-1 RNA assays) for calls to the Hotline in which an urgent viral load test result is needed for clinical decision making. Tests are performed at the Northwestern Memorial Hospital... - Read More

Expedited HIV Viral Load Testing Information

The 24/7 Illinois Perinatal HIV Hotline facilitates expedited Viral Load tests (HIV-1 RNA assays) for calls to the Hotline in which an urgent viral load test result is needed for clinical decision making. Tests are performed at the Northwestern Memorial Hospital... - Read More

Perinatal HIV Reporting Requirements for Illinois

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... - Read More

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.

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... - Read More

Rapid HIV Testing Emergency Dept Staff Competency Template (March 2014)

This template can be utilized to assess emergency department staff competency regarding the rapid HIV testing law in Illinois and its implementation in emergency departments. It includes true/false, yes/no and multiple choice questions about testing pregnant people for... - Read More

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