Program Operating Procedures and Standards (POPS)
The Texas Department of State Health Services (DSHS), HIV/STD program is pleased to provide the HIV and STD Program Operating Procedures and Standards manual. Please note that program and contract policies established by the HIV/STD program are separate documents. They are not included in the HIV and STD Program Operating Procedures manual except by reference.
Table of Contents
Forms
| Form | Title | Last Updated |
|---|---|---|
|
J-6 |
Disclosure and Consent Human Immunodeficiency Virus (HIV) Test (English) |
10/2007 |
|
J-6 |
Revelación y consentimiento para la prueba del virus de inmunodeficiencia humana (VIH) (Spanish) |
10/2007 |
|
L-30 |
Authorization to Release Confidential Information (English and Spanish) |
7/2016 |
|
L-36 |
General Consent and Disclosure (English and Spanish) |
4/2010 |
|
- |
11/2022 |
|
|
- |
11/2021 |
|
|
- |
3/2022 |
|
|
- |
3/2022 |
|
|
- |
3/2022 |
|
|
- |
3/2022 |
|
|
STD-28 |
Notification of Laboratory Test Findings Indicating Presence of Chlamydia Trachomatis, Gonorrhea, Syphilis, Chancroid, HIV Infections or Suppressed CD4 Counts (contact the program for more information) |
- |
CDC Forms
- Interview Record (CDC-7354)
- Visual Case Analysis Sheet (CDC-7354D)
- Field Record (CDC Form 29.36S) (CDC-73D)
- Field Record (Work Copy) (CDC-73W)
- Congenital Syphilis Case Investigation and Report (Instructions) (CDC-73.126)
You can order the above forms through the CDC STD Prevention website.
Project Area STD staff will need a User ID and Password to order field intervention forms. Contact your STD Program Manager or ICCR Clerk for information.