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    DSHS HIV/STD Program

    Post Office Box 149347, MC 1873
    Austin, Texas 78714

    Phone: (512) 533-3000

    E-mail the HIV/STD Program

    E-mail data requests to HIV/STD Program - This email can be used to request data and statistics on HIV, TB, and STDs in Texas. It cannot be used to get treatment or infection history for individuals, or to request information on programs and services. Please do not include any personal, identifying health information in your email such as HIV status, Date of Birth, Social Security Number, etc.

    For treatment/testing history, please contact your local Health Department.

    For information on HIV testing and services available to Persons Living with HIV and AIDS, please contact your local HIV services organization.

HIV Prevention Program Reports and Forms

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All DSHS HIV/STD funded programs except those funded by Substance Abuse and Mental Health Services Administration (SAMHSA-MAI) must accurately complete and submit reports according to the due dates identified in the HIV Prevention Semi-Annual Report Narrative. Programs should contact Program or regional staff with questions.

 

SAMHSA-MAI Reminder

SAMHSA-MAI funded. Do not use the below report. Contact your Consultant.

 

HIV Prevention Semi-Annual Report
Title Revision
Prevention Semi-Annual Report Narrative
(Word : 33 kb | PDF : 127 kb)

2/2015

Testing and Linkage to Medical Care Chart
(Word : 28 kb | PDF : 162 kb)

2/2015

Condom Distribution Chart
(Word : 26 kb | PDF : 86 kb)

2/2014

Community Mobilization and Coordination Chart
(Word : 29 kb | PDF : 88 kb)

2/2014

Prevention with Positive Persons-Group Chart (Healthy Relationships)
(Word : 26 kb | PDF : 151 kb)

2/2015

Prevention with Positive Persons-Individual Chart (ARTAS, CLEAR, CRCS)
(Word : 24 kb | PDF : 151 kb)

6/2013

Health Education and Risk Reduction Chart
(Word : 24 kb | PDF : 152 kb)

6/2013

 

Other HIV Prevention Reports and Forms
Title Revision
Request to Tailor an Evidence-Based Program Model
(Word : 28 kb | PDF : 9 kb)

7/2006

Forms and Requirements for Prevention Data Collection and Submission  

We welcome feedback from our customers.


Last updated December 04, 2015