• DSHS HIV/STD Program
    Post Office Box 149347, MC 1873
    Austin, TX 78714

    Phone: 737-255-4300

    Email the HIV/STD Program

    Email HIV, STD, Hepatitis C, and TB data requests to the Program – Use this email to request Texas HIV, STD, Hepatitis C, and TB data and statistics. Do not use this email to request treatment or infection history for individuals, or to request information on programs or services. Do not email personal, identifying health information such as HIV status, date of birth, or Social Security Number.

    For treatment/testing history, please contact your local health department.

    For information on HIV testing and services available to persons living with HIV, please contact your local HIV services organization.

Contract Management Section - Prevention Contractor Forms


CMS Prevention Contractor Forms
Form

Updated

B-13 (XLS)

1/2020

Voucher Support Form (XLS)

9/2021

Financial Status Report (FSR) (XLS)

1/2020

Budget Change Request (XLS)

1/2020

GC-11 Inventory Report (XLS)

1/2020



Last updated September 29, 2021