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  1. Patient's Acknowledgment of Counseling of Positive HIV Status, Arkansas Department of Health, Bureau of Public Health Programs, AIDS/STD Division (1998)

    This form was created and used by the Arkansas Department of Health, Bureau of Public Health Programs to document the warning of persons after they have tested positive for HIV that their HIV status can be the basis of felony and misdemeanor charges if th ...

    Anonymous (not verified) - 10/29/2018 3:57pm

  2. What You Need To Know About Missouri Laws On HIV, Missouri Department of Health and Senior Services (2008)

    The Missouri Department of Health and Senior Services requires that all individuals who test positive for HIV sign – and initial every paragraph of – a form in which HIV-positive individuals must acknowledge potential criminal liability, punishable by 10 ...

    Anonymous (not verified) - 10/29/2018 4:05pm

  3. Client Acknowledgment Form, Kalamazoo County Health and Community Services (2007)

    This form is presented to individuals who test positive for HIV in Kalamazoo, Michigan.  After testing positive, clients are asked to sign and date the form, in the presence of a witness, attesting to the fact that they have been informed of behaviors tha ...

    Anonymous (not verified) - 10/29/2018 4:19pm