Resources & Forms

Expedited Newborn HIV-1 DNA PCR Testing Requisition

The 24/7 Illinois Perinatal HIV Hotline offers expedited HIV-1 DNA PCR tests for calls to the Hotline in which an urgent test result is needed for pediatric treatment decision making. Specimens are processed at the Special Infectious Disease (SID) Laboratory of the Ann... - Read More
New/Updated

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

Resources for HIV Serodiscordant Couples

HIVE, formerly the Bay Area Perinatal AIDS Center (BAPAC), features a variety of online resources for HIV serodiscordant couples including information on safer conception options and pre-exposure prophylaxis (PrEP).
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

Providers of HIV-Related Obstetric and Pediatric Care in Illinois

The 24/7 Illinois Perinatal HIV Hotline partners with medical providers throughout Illinois and neighboring states specializing in the care of HIV-infected pregnant women and their newborns. Our partners include:   CHICAGO Ann and Robert H. Lurie Children’s Hospital of... - Read More

Enhanced Case Management Consent

Authorizes the Pediatric AIDS Chicago Prevention Initiative's enhanced case manager to work with the client to develop a medical and social service care plan and to collect and share information as described in the consent.

Rapid HIV Testing Emergency Dept Staff Competency Template

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 women for HIV,... - Read More

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