Resources & Forms

Guidelines & Best Practices

The United States Public Health Service provides clinical guidelines for the treatment of HIV/AIDS that are continually reviewed and updated by experts in the field. They are available at HIVinfo.Sources of treatment information for perinatal HIV include the following:Recommendations for the Use of…

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.

Hotline Release of Information

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 their infant with identified institutions and organizations for the purpose…

Rapid HIV Test Counseling on Labor and Delivery Flip Chart

This flip chart, created by the Perinatal Rapid Testing Implementation Initiative in Illinois (PRTII2), was originally developed in 2004 to provide hospital staff with a script for perinatal rapid HIV test counseling in labor and delivery units. Please note that this resource may…

PRTII Perinatal Rapid HIV Testing Implementation Guide

This document is a historical guide to the implementation of perinatal rapid HIV testing that was initiated in Illinois in 2004. This document contains resources to guide the process of implementation of rapid HIV testing in labor and delivery units. It includes sample questionnaires,…