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    DSHS HIV/STD Program

    Post Office Box 149347, MC 1873
    Austin, Texas 78714

    Phone: (512) 533-3000

    DSHS strives to respond to all email requests in a timely manner. It is important to note, however, that messages that you send to us by email may not be secure and may be intercepted by a third party. Therefore, we recommend that you do not send any confidential health information to us by email.

Program Evaluation Tools

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Below are program evaluation tools used for site reviews. 

File Document Revised
All Scopes of Work Tools

Risk Assessment Tool Procedure Word format

Risk Assessment Tool Procedure PDF File

Risk Assessment Tool Procedure
(Word : 472 kb | PDF : 57 kb)

11/2007

Risk Assessment Tool Word format

Risk Assessment Tool PDF File

Risk Assessment Tool
(Word : 136 kb | PDF : 56 kb)

11/2007

 

File Document Revised
Prevention Tools

HIV Testing Chart Review Tool Word format

HIV Testing Chart Review Tool PDF File

HIV Testing Chart Review Tool
(Word : 26 kb | PDF : 186 kb)
4/2013

HIV Testing Observation Tool Word format

HIV Testing Observation Tool PDF File

HIV Testing Observation Tool
(Word : 23 kb | PDF : 77 kb)
2/2014

Prevention Site Review Tool Word format

Prevention Site Review Tool PDF File

Prevention Site Review Tool
(Word : 360 kb | PDF : 217 kb)

5/2009

Prevention Counseling Orientation Guide Word format

Prevention Counseling Orientation Guide PDF File

Prevention Counseling Orientation Guide
(Word : 26 kb | PDF : 77 kb)

3/2002

 

File Document Revised
Sexually Transmitted Disease (STD) Tools

Site Review Summary Word file

Site Review Summary PDF file

Site Review Summary
(Word : 151 kb | PDF : 185 kb)

3/2014

Pre-Site Review Tool Word file

Pre-Site Review Tool PDF file

Pre-Site Review Tool
(Word : 294 kb | PDF : 439 kb)

1/2014

 

File Document Revised
Housing Opportunities for People with AIDS Tool

HOPWA Program Review Tool Word format

HOPWA Program Review Tool PDF File

HOPWA Monitoring Tool
(Word : 58 kb | PDF : 135 kb)

11/2012

 

File Document Revised
Services Program Review Tools

AA Subcontractor Satisfaction Survey Word format

AA Subcontractor Satisfaction Survey PDF File

AA Subcontractor Satisfaction Survey
(Word : 183 kb | PDF : 42 kb)

3/2005

AA Review Tool Word format

AA Review Tool PDF File

AA Review Tool
(Word : 215 kb | PDF : 104 kb)

3/2008

Last updated April 08, 2014