HIV Consent for Testing

1. Print the Consent form by clicking the Printer icon in the Adobe toolbar below the Address or Location box in your browser. Do not use your browser's Print button.
2. If ordering the rapid HIV antibody screen you must give the patient/legal guardian the patient education sheet called "Rapid HIV Test." or "Spanish Rapid HIV Test."  Print this patient education sheet by clicking the link then the printer icon.  The patient/legal guardian must be given this information prior to signing the consent form for the test. 
3. Complete the patient identifying information, explain the consent to the patient/parent/guardian and have them sign and date the form. Sign the form as the witness. Unsigned forms cannot be accepted and must be re-submitted.
4. A lab order to perform the HIV test must also be completed and accompany the signed consent form. Diagnosis and ordering physician's signature are required on all orders. Incomplete or unsigned orders are not valid and will require resubmission.
5. For non-surgical patients, fax the completed forms to (414) 266-2597.
6. For surgical patients, fax the completed forms to (414) 266-3378.
7. Click your browser's Back button to return to this page.

HIV Consent for Testing

HIV Consent for Testing - written in Spanish

Outpatient Laboratory Orders 

In order to use the Consent forms, you must have version 4 or higher of Adobe Acrobat Reader installed on your computer.