Form 50.42A Adult HIV Confidential Case Report Form

Form 50.42A Adult HIV Confidential Case Report Form

What Is Form 50.42A?

This is a legal form that was released by the U.S. Department of Health and Human Services - Centers for Disease Control and Prevention on February 1, 2018 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 50.42A?
A: Form 50.42A is the Adult HIV Confidential Case Report Form.

Q: What is the purpose of Form 50.42A?
A: The purpose of Form 50.42A is to report cases of adult HIV infection in a confidential manner.

Q: Who uses Form 50.42A?
A: Form 50.42A is used by healthcare professionals and laboratories to report adult HIV cases.

Q: What information is collected on Form 50.42A?
A: Form 50.42A collects information such as demographic data, HIV test results, and treatment information.

Q: Is the information on Form 50.42A confidential?
A: Yes, the information on Form 50.42A is confidential and protected by law.

Q: Is reporting cases on Form 50.42A mandatory?
A: Yes, reporting cases on Form 50.42A is mandatory in most states.

Q: Are there any penalties for not reporting on Form 50.42A?
A: There may be penalties for not reporting on Form 50.42A, as required by law.

ADVERTISEMENT

Form Details:

  • Released on February 1, 2018;
  • The latest available edition released by the U.S. Department of Health and Human Services - Centers for Disease Control and Prevention;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form 50.42A by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services - Centers for Disease Control and Prevention.

Download Form 50.42A Adult HIV Confidential Case Report Form

4.3 of 5 (65 votes)
  • Form 50.42A Adult HIV Confidential Case Report Form

    1

  • Form 50.42A Adult HIV Confidential Case Report Form, Page 2

    2

  • Form 50.42A Adult HIV Confidential Case Report Form, Page 3

    3

  • Form 50.42A Adult HIV Confidential Case Report Form, Page 4

    4

  • Form 50.42A Adult HIV Confidential Case Report Form, Page 1
  • Form 50.42A Adult HIV Confidential Case Report Form, Page 2
  • Form 50.42A Adult HIV Confidential Case Report Form, Page 3
  • Form 50.42A Adult HIV Confidential Case Report Form, Page 4
Prev 1 2 3 4 Next
ADVERTISEMENT