KY HIV Test Form Template pub - chfs ky 2025

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  1. Click ‘Get Form’ to open the KY HIV Test Form Template in the editor.
  2. Begin by entering the KY Sticker Number at the top of Part One. This is essential for tracking and identification.
  3. Fill in the Sample Date and Session Date using the format MM/DD/YYYY. Ensure accuracy as this information is crucial for record-keeping.
  4. Complete the Agency Name and Agency ID Number fields. These should reflect your organization’s official details.
  5. Input the Client's Birth Year, ensuring it is a four-digit number. If unknown, enter '1800'.
  6. Proceed to fill out sections regarding Client State, County, and Zip Code accurately to ensure proper documentation.
  7. In the Ethnicity and Race sections, select appropriate options based on client information. Multiple selections may be necessary for race.
  8. For each HIV test result section, choose from provided options like Positive/Reactive or Negative, ensuring clarity in marking responses.

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to Perform Testing. testing is voluntary. Consent can be with- drawn at any time by informing your provider. Please read Parts A and B of this form, and sign at the bottom of Part B, if you understand the following information and want testing.
Blood (serum, plasma, DBS) is the preferred specimen for testing because it has a higher concentration of antibodies than oral fluid. It also allows for additional testing, including for syphilis, hepatitis B and hepatitis C, and for special studies of type and subtype, and ARV resistance.
If you get an test in a health care setting or lab, the health care provider will take a sample of blood or oral fluid. With a rapid test (oral fluid or finger stick), you may be able to wait for the results. With a lab test, it may take several days for your results to be available.
Rapid tests use a drop of blood from your finger. This test can find infections starting between 18 days to 90 days after you were infected. At-home tests, or mail-in tests, allow you to collect blood from your finger at home to send to a lab for testing.
For an self-test, you must swab your gums to collect an oral fluid sample and then test your sample. Your results will be ready within 20 minutes. If you dont follow the directions as described, the test may not work.
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