To be used by providers to link their patients to case management and specialty care.  Once signed by the patient, the release of information authorizes the Hotline to receive and share information about the patient and exposed infant with identified institutions and organizations with the purpose of coordinating follow-up treatment and care.

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.

The first form required when you encounter a preliminarily HIV-positive patient. When signed by a patient, this form authorizes a health care provider to disclose a patient's preliminary HIV status and contact information to the Pediatric AIDS Chicago Prevention Initiative for the purpose of providing case management follow-up.

The second form required when you encounter a preliminarily HIV-positive patient. 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.

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.

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