To be completed monthly by Illinois emergency department (ED)/non-birthing hospital staff detailing the number of pregnant people presenting, HIV documentation status, patients delivering in the ED as well as pregnant or delivering people and newborns rapidly tested in the ED. This form is required by the state of Illinois.
| Attachment | Size |
|---|---|
| Perinatal Rapid HIV Testing Monthly Report Non-Birthing Hospital (word)34.16 KB | 34.16 KB |
| Perinatal Rapid HIV Testing Monthly Report Non-Birthing Hospital (pdf)73.73 KB | 73.73 KB |