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EVALUATIONWEB® 2016 HIV TEST TEMPLATE

Version 2 Revised 12/14/2015 2016 Luther Consulting, LLC. All rights reserved. Page 1 evaluationweb 2016 HIV TEST TEMPLATE General instructions for completing the evaluationweb HIV Test TEMPLATE This HIV testing data collection TEMPLATE is provided to assist CDC grantees who are collecting National HIV Prevention Program Monitoring and Evaluation (NHME) HIV testing data. This TEMPLATE is not mandated for use in the field and may be customized so that an agency may make any changes to the TEMPLATE to best fit their needs. Contact the NHME Service Center to receive a Microsoft Publisher version of this TEMPLATE that can be edited (1-855-374-7310 or Part One for all CDC-funded testing events Part Two for recording linkage and referral data on all preliminary and confirmed HIV-positive clients Part Three for jurisdictions funded to collect HIV incidence data. These data should be entered into evaluationweb .)

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