2017 Screenshots

Att 3B 2017 version NHME_EvaluationWeb screen shots.docx

National HIV Prevention Program Monitoring and Evaluation (NHM&E)

2017 Screenshots

OMB: 0920-0696

Document [docx]
Download: docx | pdf

Agency information:

Client information: Client ID is not reported to CDC.



Client information continued:

HIV testing history







HIV test information:





















Behavioral risk profile:

Additional risks:









Negative test result:

Positive test result:





Positive test result continued:









Additional Support Services for all clients:



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorCarolyn Wright
File Modified0000-00-00
File Created2021-01-20

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