Home
Forms Library
Bulletin 138 Form 5 - Model HIV Notification Letter - Positive

Bulletin 138 Form 5 - Model HIV Notification Letter - Positive 2026

Bulletin 138 Form 5 - Model HIV Notification Letter - Positive Preview on Page 1

See details

4.6 out of 5

33 votes

The document is a confidential letter informing a client that their HIV-related test results are positive, leading to the denial of their insurance application by the insurance company. It advises the client to consult a physician regarding the implications of these results and outlines their rights under Vermont law, including the option for a re-test within three years at the company's expense. The letter emphasizes confidentiality and provides contact information for further inquiries.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Bulletin 138 Form 5 - Model HIV Notification Letter - Positive with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open it in the editor.
Begin by entering the name of your insurance company in the designated field at the top of the letter. This personalizes the notification for clarity.
In the body of the letter, ensure that you accurately reflect your test results and any relevant details as required by your situation.
Fill in your contact information where indicated, ensuring that it is up-to-date for any follow-up communications.
Review all sections carefully, especially those regarding retesting options and confidentiality clauses, to ensure compliance with Vermont law.
Once completed, utilize our platform’s signing feature to securely sign the document before sending it out.

Start using our platform today to fill out your Bulletin 138 Form 5 easily and for free!

See more Bulletin 138 Form 5 - Model HIV Notification Letter - Positive versions

We've got more versions of the Bulletin 138 Form 5 - Model HIV Notification Letter - Positive form. Select the right Bulletin 138 Form 5 - Model HIV Notification Letter - Positive version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2019	4.6 Satisfied (33 Votes)
2002	4 Satisfied (60 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Do you need patient consent to test for ?

There are no exceptions to the requirement that testing be voluntary and with the verbal informed consent of the person being tested or his/her surrogate.

When is informed consent for testing required, select all that apply.?

The informed consent process is only required for diagnostic testing. Once the patient is aware of their infection, informed consent is not required for testing that is conducted to monitor the disease.

How to fill an consent form?

By my signature below, I consent to be tested for . from my mouth, will be tested for antibodies to the Human Immunodeficiency Virus, the virus that causes AIDS. I acknowledge that I have been given an explanation of the test, including its uses, benefits, limitations and the meaning of test results.

What are the requirements for testing?

CDC recommends all patients between the ages of 13 and 64 get tested for at least once as part of routine health care. Screen patients who may have ongoing risk factors for at least annually. Use opt-out approach to remove stigma associated with testing and foster earlier diagnosis and treatment.

What states require consent for testing?

Abstract. In 2014, New York and Nebraska were the only states that still required written informed consent for testing, a signature element of public policy that dated from the 1980s.

Is a consent form required for testing?

Must a person sign a written consent form before an test? According to the law, a person can also consent verbally to an test. It is however advisable to obtain written proof that the person has been pre-test counselled and that they agree to have an test.