- Tools and Templates
Date Published: October 2008
To receive assistance under the HOPWA program, a client's HIV status must be documented. The HIV/AIDS diagnosis must be made by a health professional competent to make such a determination; case manager statement is not sufficient. Project sponsors can use this form to document the client's HIV status. (Note, information on the HIV/AIDS status of a client is subject to confidentiality requirements.)
For additional information, refer to the HOPWA Program Administration Toolkit.