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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
Format Title Revision Date
Prevention Semi-Annual Report Narrative Word file Prevention Semi-Annual Report Narrative PDF file Prevention Semi-Annual Report Narrative
(Word : 33 kb | PDF : 127 kb)
2/2015
Testing and Linkage to Medical Care Chart Word file Testing and Linkage to Medical Care Chart PDF file Testing and Linkage to Medical Care Chart
(Word : 28 kb | PDF : 162 kb)
2/2015
Condom Distribution Chart Word file Condom Distribution Chart PDF file Condom Distribution Chart
(Word : 26 kb | PDF : 86 kb)
2/2014
Community Mobilization and Coordination Chart Word file Community Mobilization and Coordination Chart PDF file Community Mobilization and Coordination Chart
(Word : 29 kb | PDF : 88 kb)
2/2014
Prevention with Positive Persons-Group Chart (Healthy Relationships) Word file Prevention with Positive Persons-Group Chart (Healthy Relationships) PDF file 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 file Prevention with Positive Persons-Individual Chart (ARTAS, CLEAR, CRCS) PDF file Prevention with Positive Persons-Individual Chart (ARTAS, CLEAR, CRCS)
(Word : 24 kb | PDF : 151 kb)
6/2013
Health Education and Risk Reduction Chart Word file Health Education and Risk Reduction Chart PDF file Health Education and Risk Reduction Chart
(Word : 24 kb | PDF : 152 kb)
6/2013

 

Other HIV Prevention Reports and Forms
Format Title Revision Date
Request to Tailor an Evidence-Based Program Model Word file Request to Tailor an Evidence-Based Program Model PDF file 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  

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Last updated March 31, 2015