Resources & Forms

Health care facilities caring for a newborn infant whose birth parent had been diagnosed with HIV prior to labor and delivery, or whose confirmatory test result is positive for HIV infection shall report a case of HIV exposure in an infant in accordance with the HIV/AIDS Registry Act and the…

Health care facilities caring for a pregnant or delivered patient who has been diagnosed with HIV by a rapid HIV test on labor and delivery or through prenatal HIV testing shall report a case of diagnosed HIV infection in an adult in accordance with the HIV/AIDS Registry Act and the Illinois…

To be completed monthly by Illinois emergency department (ED)/non-birthing hospital staff detailing the number of pregnant people presenting, HIV documentation status, patients delivering in the ED as well as pregnant or delivering people and newborns rapidly tested in the ED. This form is required…

To be completed monthly by Illinois birthing hospital staff detailing the number of delivering people, HIV documentation status, and delivering patients and newborns rapidly tested in labor and delivery. This form is required by the state of Illinois.

To be completed by Illinois hospital staff for every preliminary positve rapid HIV test result and faxed to the Mother and Child Alliance. This rapid HIV testing form is required by the state of Illinois.