NV.gov
HIV - Forms
Counseling, Testing, and Referral (CTR) Form
Counseling, Testing, and Referral (CTR) forms are designed as a data collection tool for EvaluationWeb®. This information helps CDC grantees who are collecting National HIV Prevention Program Monitoring and Evaluation (NHME) HIV testing data. The data collected on these forms provides a way to document to whom services are delivered and if the characteristics of the clients collected is similar to the ones that the agencies intended. Collecting this data also benefits agencies as state and Federal funding is often tied to the provision of services to specific populations. Also, data collected on CTR forms may illuminate emerging trends among communities that the agency was not expecting to serve or populations who may need interventions marketed toward them. Which, in turn, may inform efforts for the provision of other services in the community and/or referrals.
Rapid HIV Testing/Counseling Certification Program
This is a week long course designed to provide the attendee with all of the necessary information to conduct rapid HIV testing in our community. The breakdown of the course is below. In order to receive a certificate, you must attend all classes. This certificate is required by the State Laboratory Licensing Bureau for the CLIA waver to conduct on site Rapid HIV testing.
- Epidemiology Profile
- Fundamentals of HIV
- TOPSAFE (Training Operating for Safety Around Field Encounters)
- Client Centered Counseling
- Blood Borne Pathogens
- Data Collection Form Training
- HIV Rapid Test Technology Certification
Please contact Southern Nevada Health District for training dates.
Rapid HIV Testing Licensing
- The Bureau of Health Care Quality and Compliance (HCQC) licenses medical and other health facilities in Nevada in accordance with Nevada Revised Statutes Chapter 449
- and with Nevada Administrative Code Chapter 449 (NAC 449)
- This Resources for Providers page contains links to information for individuals and businesses interested in becoming a Nevada health care provider.
- Online Licensing and Certification System
- Use the above new online portal to apply for licensure of a new health facility or medical laboratory. Current licensees also can manage and update their information, renew their license and make a payment.
- Please contact The Bureau of Health Care Quality and Compliance regarding Rapid HIV Testing Licensing