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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 Operating Procedures and Standards

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The Texas Department of State Health Services (DSHS), HIV/STD Program is pleased to provide the HIV and STD Program Operating Procedures and Standards manual. Please note that program and contract policies established by the HIV/STD Program are separate documents and are not incuded in the HIV and STD Program Operating Procedures manual except by reference.

Table of Contents

File

Chapter

Title

Last Updated

File Size

Chapter 1 HIV/STI/HCV Testing, Counseling and Linkage to HIV Medical Care PDF format

1

HIV/STI/HCV Testing, Counseling and Linkage to HIV Medical Care

4/2014

158 kb

Chapter 2 HIV/STI/HCV Testing and Linkage Documentation PDF format

2

HIV/STI/HCV Testing and Linkage Documentation

4/2014

126 kb

Chapter 3 HIV/STI Partner Services and Seropositive Notification PDF format

3

HIV/STI Partner Services and Seropositive Notification

4/2014

113 kb

Chapter 4 HIV Testing in STI Clinics PDF format

4

HIV Testing in STI Clinics

4/2014

152 kb

Chapter 5 HCV Testing PDF format

5

HCV Testing

4/2014

119 kb

Chapter 6 Disease Intervention Specialists Performance Standards PDF format

6

Disease Intervention Specialists Performance Standards

5/2011

157 kb

Chapter 7 First-line Supervisors Performance Standards PDF format

7

First-line Supervisors Performance Standards

1/2010

41 kb

Performance Improvement Plans PDF format

 

   Performance Improvement Plans

1/2010

17 kb

How to Be an Organized First Line Supervisor/Operations Manager PDF format

 

   How to Be an Organized First Line Supervisor/Operations Manager

1/2010

20 kb

Orientation Plan for ISTDI Preparation PDF format

 

   Orientation Plan for ISTDI Preparation

1/2010

23 kb

Chapter 8 HIV/STD Surveillance PDF format

8

HIV/STD Surveillance

-

849 kb

Chapter 9 Administrative Agency Core Competencies PDF format

9

Administrative Agency Core Competencies

-

74 kb

Chapter 10 Client File Organization, Content and Security Standards PDF format

10

Client File Organization, Content and Security Standards

-

491 kb

Chapter 11 Client Referrals Standards PDF format

11

Client Referrals Standards

-

483 kb

Chapter 12 Direct Emergency Financial Assistance Standards PDF format

12

Direct Emergency Financial Assistance Standards

-

484 kb

Chapter 13 Food Services Standards PDF format

13

Food Services Standards

-

511 kb

Chapter 14 Health Insurance Program Standards PDF format

14

Health Insurance Program Standards

-

346 kb

Chapter 15 Pick-up and Delivery of Prescription and Over-The-Counter Medications Standards PDF format

15

Pick-up and Delivery of Prescription and Over-The-Counter Medications Standards

-

490 kb

Chapter 16 Transportation Services Standards PDF format

16

Transportation Services Standards

-

492 kb

Chapter 17 Direct Client Services Volunteer Programs Standards PDF format

17

Direct Client Services Volunteer Programs Standards

-

346 kb

Chapter 18 COMPIS Data Managers Performance Standards Core Competencies, Duties, and Required Activities PDF format

18

COMPIS Data Managers Performance Standards Core Competencies, Duties, and Required Activities

-

544 kb

Chapter 19 Case Management Standards of Care PDF format

19

Case Management Standards of Care

9/2007

126 kb

Chapter 20 STD Clinical Standards PDF format

20

STD Clinical Standards

5/2013

182 kb

Chapter 21 HIV Comprehensive Risk Counseling and Services PDF format

21

HIV Comprehensive Risk Counseling and Services

10/2008

202 kb

Chapter 22 Regional and Local Health Department HIV/STD Program Manager Performance Standards PDF format

22

Regional and Local Health Department HIV/STD Program Manager Performance Standards

1/2010

76 kb

Chapter 23 Condom Promotion and Distribution PDF format

23

Condom Promotion and Distribution

4/2014

164 kb

Chapter 24 Community Mobilization and Coordination for HIV Prevention PDF format

24

Community Mobilization and Coordination for HIV Prevention

4/2014

101 kb

The entire POPS manual is also available in PDF (PDF : 1,438 kb) and Word format (Word : 704 kb).

Forms

File

Form

Title

Last Updated

File Size

PDF formatWord File

 

J-6

Disclosure and Consent Human Immunodeficiency Virus (HIV) Test (English)

10/2007

PDF 90 kb
Word 17 kb

PDF formatWord File

 

J-6

Revelación y consentimiento para la prueba del virus de inmunodeficiencia humana (VIH)

10/2007

PDF 86 kb
Word 17 kb

PDF format

L-30

Authorization to Release Confidential Information (English and Spanish)

9/2004

95 kb

PDF formatWord File

 

L-36

General Consent and Disclosure (English and Spanish)

4/2010

PDF 79 kb
Word 66 kb

PDF formatWord File

 

-

700 & 900 Case Management Audit Form

12/2009

PDF 24 kb
Word 65 kb

PDF formatWord File

 

-

Model Policy for Expedited STD Services

4/2010

PDF 10 kb
Word 28 kb

PDF formatWord File

 

-

Express STD Services Model Assessment Form

6/2010

PDF 57 kb
Word 59 kb 

PDF formatWord File

 

-

Field Investigation Audit Form

12/2009

PDF 26 kb
Word 65 kb

PDF formatWord File

 

-

Field Record (Pouch) Review/Audit Form

12/2009

PDF 25 kb
Word 52 kb

PDF formatWord File

 

-

Interview Audit Form

12/2009

PDF 31 kb
Word 68 kb

-

STD-28

Notification of Laboratory Test Findings Indicating Presence of Chlamydia Trachomatis, Gonorrhea, Syphilis, Chancroid, HIV Infections or Suppressed CD4 Counts (contact the program for more information)

-

-

PDF format

STD-42

Disclosure and Consent Treatment for Sexually Transmitted Diseases by Injectible Medication

-

48 kb

-

STD-43

Risk Referral Form (this duplicate form can be ordered by contacting the Program or calling (512) 533-3000)

-

-

File

Appendix

Title

Last Updated

File Size

Select Appendices

PDF format

B

Forms List

-

547 kb

PDF format

C

TDCJ Memo

-

75 kb

PDF format

E

STD*MIS System Maintenance

-

179 kb

PDF format

F

CDC Surveillance Case Definitions

-

249 kb

PDF format

G

HARS and STD Site Maps

-

261 kb

The following HIV/STD forms can be ordered through the CDC STD Prevention website [CDC].

Project Area STD staff will need a User ID and Password to order field intervention forms. Contact your STD Program Manager or ICCR Clerk for information.

CDC Forms

  • Interview Record (CDC-7354)
  • Visual Case Analysis Sheet (CDC-7354D)
  • Field Record (CDC Form 29.36S) (CDC-73D)
  • Field Record (Work Copy) (CDC-73W)
  • Congenital Syphilis Case Investigation and Report (Instructions) (CDC-73.126)

Last updated April 23, 2014