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…

All Illinois birthing hospitals conduct rapid HIV testing in labor and delivery units. These are the main resources that hospitals will need to perform rapid HIV testing on pregnant people.Counseling and TestingCDC Revised HIV Testing Recommendations in Healthcare SettingsGuidelines for…

The Illinois 24/7 Perinatal HIV Hotline offers expedited confirmatory HIV testing at Northwestern Memorial Hospital’s Immunology Laboratory for calls to the Hotline in which an urgent confirmatory HIV test result is needed for clinical decision making. The specimens are processed with a…

This patient handout, developed by the Illinois Perinatal HIV Hotline, is designed to assist parents/caretakers in administering neonatal AZT (Zidovudine, Retrovir) to their newborn infants. It includes information on timely dosing and what to do if the infant spits up the medication or…

The United States Public Health Service provides clinical guidelines for the treatment of HIV/AIDS that are continually reviewed and updated by experts in the field. They are available at HIVinfo.Sources of treatment information for perinatal HIV include the following:Recommendations for the Use of…

The Perinatal HIV Prevention Act was most recently revised in 2017 with changes effective January 1, 2018. This is a summary of the reporting requirements for Illinois hospitals. All reporting must be done in compliance with the AIDS Confidentiality Act.  Prenatal ProvidersMaternity…

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.

To be used by providers to link their patients to case management and specialty care. Once signed by the patient, the release of information authorizes the Hotline to receive and share information about the patient and their infant with identified institutions and organizations for the purpose…

This flip chart, created by the Perinatal Rapid Testing Implementation Initiative in Illinois (PRTII2), was originally developed in 2004 to provide hospital staff with a script for perinatal rapid HIV test counseling in labor and delivery units. Please note that this resource may…

This document is a historical guide to the implementation of perinatal rapid HIV testing that was initiated in Illinois in 2004. This document contains resources to guide the process of implementation of rapid HIV testing in labor and delivery units. It includes sample questionnaires,…