Form BP-A1053 Inmate Consent / Declination for HIV Post-exposure Prophylaxis

Form BP-A1053 Inmate Consent / Declination for HIV Post-exposure Prophylaxis

What Is Form BP-A1053?

This is a legal form that was released by the U.S. Department of Justice - Federal Bureau of Prisons on June 1, 2014 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 BP-A1053?
A: Form BP-A1053 is the Inmate Consent/Declination form for HIV Post-exposure Prophylaxis.

Q: What is the purpose of this form?
A: The purpose of this form is to obtain consent or declination from an inmate for HIV post-exposure prophylaxis.

Q: What is HIV post-exposure prophylaxis?
A: HIV post-exposure prophylaxis is a treatment given to someone who may have been exposed to HIV to help reduce the risk of infection.

Q: Who needs to fill out this form?
A: This form needs to be filled out by the inmate who may have been exposed to HIV and is being offered post-exposure prophylaxis.

Q: Is this form mandatory?
A: Yes, if an inmate is being offered HIV post-exposure prophylaxis, they must either provide consent or decline by filling out this form.

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Form Details:

  • Released on June 1, 2014;
  • The latest available edition released by the U.S. Department of Justice - Federal Bureau of Prisons;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form BP-A1053 by clicking the link below or browse more documents and templates provided by the U.S. Department of Justice - Federal Bureau of Prisons.

Download Form BP-A1053 Inmate Consent / Declination for HIV Post-exposure Prophylaxis

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  • Form BP-A1053 Inmate Consent / Declination for HIV Post-exposure Prophylaxis, Page 1
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