CEI Clinical Education Initiative

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A Statewide Network of HIV Clinical Education Programs

HIV/AIDS Related FORMS 

These and other forms related to HIV/AIDS care and issues can be obtained by clicking the links below or going to: NYS Department of Health. 

Most forms can be printed directly from within your browser or printed from within
Adobe Reader.

HIV/AIDS Forms

  1. CEI Needs Assessment Form for requested Training

  2. CEI Training Evaluation Form

  3. Required HIV Consent and Authorization Forms

  4. Expanded Syringe Access Demonstration Program (ESAP) Forms

  5. HIV Counseling and Testing Resource Directory Forms

  6. HIV Uninsured Care Programs Applications/Solicitud para el Programa de Cuidado de VIH

  7. Educational Materials Order Forms

  8. Informed Consent Form for Source Patients