Florida doh adult hiv confidential case report 2016 form: Fill out & sign online

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Click ‘Get Form’ to open it in the editor.
Begin with the Patient Identification section. Fill in the required fields such as First Name, Last Name, and Address Type. Ensure all dates are recorded in mm/dd/yyyy format.
Proceed to the Patient Demographics section. Here, you will provide information about the patient's sex assigned at birth, date of birth, and ethnicity. Be thorough to ensure accurate data collection.
In the Laboratory Data section, document all relevant test results. Include collection dates and specify whether tests were positive or negative.
Complete the Treatment/Services Referrals section by indicating if the patient has been informed of their HIV status and any referrals made for further services.

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