Information For . . .
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Disease Reporting
Physicians (or a designee) are required to report any case of HIV and AIDS according to Title 25, Part 1, Chapter 97, Subchapter F, Rules §97.130- §97.134 of the Texas Administrative Code (found here ). Communicable disease reporting is exempt from HIPAA (Health Insurance Portability and Accountability Act of 1996) (for more information on HIPAA, go here).
Two forms are required. The age of the patient determines which form should be completed.
Adults and Adolescents 13 Years Old or Older:
Adult HIV/AIDS Confidential Case Report, CDC 50.42A |
Please include all available information, especially regarding risk behavior. |
HIV Testing History Interview Form, F13-12210 (rev. 2006-Apr 17) |
Information collected on this form is required in the same manner as the CDC50.42A above. This information enables health officials to estimate the incidence of new HIV infections in Texas populations. This endeavor is critical to be able to understand and prevent the spread of HIV infection. HIV prevention and services providers rely on this information to develop effective programs. CDC has received approval from the Office of Management and Business (OMB) to require these elements from jurisdictions conducting HIV surveillance. Texas and other surveillance areas are authorized by CDC to develop state-level forms to amend the CDC50.42A to collect this information. HIV testing and healthcare providers should ask each newly diagnosed HIV-infected patient the following information to have it documented for completion of this form:
- Ever had a previous positive HIV test?
- Date of first positive HIV test?
- Number of HIV tests in the 2 years before first positive
- Ever had a negative HIV test?
- Date of last negative HIV test
- Date antiretroviral use began
- Date antiretroviral use ended
- Antiretroviral medications taken
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Children 12 Years Old or Younger (including infants who are suspect cases due to maternal antibodies):
Confidential Pediatric HIV/AIDS Case Report Form, CDC 50.42B |
The pediatric HIV/AIDS confidential case report form (CDC 50.42B Rev. 1/2000) is to be used to report children under 13 years of age with HIV infection, AIDS, or for children that have been perinatally exposed, but are still considered HIV indeterminate.
A case report form is to be completed for each child born to an HIV infected mother (i.e. perinatally HIV exposed). Case report forms should also be completed on:
- Children that meet the pediatric AIDS case definition
- Children with confirmed HIV infection
- Children whose infection status has not yet been determined
- Children who have seroreverted (lost maternal antibodies)
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Enhanced HIV/AIDS Surveillance to Maximally Reduce Perinatal HIV Transmission (EPS) Form-Revised 8/28/2006 |
Data collection for Enhanced Perinatal Surveillance (EPS) will supplement information collected on both the adult and pediatric case report form and include data on prenatal care, clinical history, testing, and antiretroviral therapy. These clinical and behavioral data will be used to better monitor the effects of HIV testing, prevention, and treatment guidelines and to maximally reduce perinatal HIV transmission.
The initial EPS form will be completed within 90 days of the child's birth. Follow-up EPS forms to adequately determine the child's HIV status will be completed at 6 months, 12 months, 18 months, or until the HIV status of the child is determined. |
All HIV and STD reporting forms may be obtained from the local reporting authority closest to you from the list below:
HIV Reporting Site |
Name |
Phone Number |
Lubbock, Texas |
Elena Rodriguez |
806-767-0497 |
Amarillo, Texas |
Addie Pride |
806-351-7224 |
Arlington, Texas |
Valerie Carson |
817-264-4773 |
Dallas, Texas |
Marisa Gonzales |
214-819-1967 |
Fort Worth, Texas |
Aurelio Rodgriquez |
817-321-5369 |
Tyler, Texas |
Della Mendez |
903-533-5385 |
Galveston, Texas |
Jim Hilton |
409-765-2528 |
Houston, Texas |
Jeff Meyer |
713-794-9194 |
Temple, Texas |
Norma Jones |
254-778-6744 |
Austin, Texas |
Sherry Lyles |
512-972-5145 |
Waco, Texas |
Elaine Obenoskey |
254-750-5478 |
San Antonio, Texas |
Capri Berain |
210-207-8837 |
Midland, Texas |
Oscar Hernandez |
432-571-4150 |
El Paso, Texas |
Raul Tellez |
915-771-1209 |
Harlingen, Texas |
Richard Anguiano |
956-423-0130 |
Corpus Christi, Texas |
Maria C Villarreal |
361-826-7243 |
Helpful Links Regarding HIV and STD Reporting
Laboratories may report electronically to DSHS for all notifiable conditions and should
Terry Donohoo or call her at (512) 533-3028 to make arrangements regarding format and security.
Last Updated September 25, 2007
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