HIV Consent for Ongoing Monitoring 

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. 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.
3. 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.
4. For non-surgical patients, fax the completed forms to (414) 266-2597.
5. For surgical patients, fax the completed forms to (414) 266-3378.
6. Click your browser's Back button to return to this page.

HIV Consent for Ongoing Monitoring

HIV Consent for Ongoing Monitoring - 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.