This Guide for Wisconsin PrEP Providers P-01197 (PDF, 297 KB) summarizes the recommended practices for HIV prevention through Pre-exposure Prophylaxis (PrEP) using the drug combination of tenofovir and emtricitabine (Truvada®). The guide has been compiled and reviewed by the Wisconsin Department of Health Services - AIDS/HIV Program, in collaboration with experienced local HIV clinicians and other health care providers.
Sample Clinical Protocol for PrEP
This sample clinical protocol, Guidelines for Implementing Pre-Exposure Prophylaxis For
The Prevention of HIV in Youth (PDF, 84 KB) , was developed by the Wisconsin Primary Care Support Network at Children's Hospital of Wisconsin. While this resource covers the provision PrEP for youth, it is an example of a PrEP protocol that providers can adapt and use as a starting point for their practice.
Case Reporting of HIV Infection and AIDS
Combined HIV Infection and AIDS Case Report Form
In 2013, a new Wisconsin HIV Infection and AIDS Case Report form replaced the previous HIV and AIDS case reports (DOH 4338 and DOH 4264) for persons > 13 years of age at time of diagnosis. The form collects important public health surveillance information which is crucial in understanding the HIV epidemic and in providing important public health services to persons infected and those at risk for HIV infection.
Wisconsin HIV Infection and AIDS Case Report Form, F-44338 (Word, 227 KB)
Letter to Providers Regarding New Case Report Form (PDF, 44 KB)
Fact Sheet: Reporting of HIV Infection and AIDS in Wisconsin, P-00541 (PDF, 45 KB)
HIV Partner Services
HIV Partner Services Information Sheet
This fact sheet provides information to health care providers and persons with HIV infection regarding public health services known as HIV Partner Services. During HIV Partner Services, infected persons are confidentially interviewed by skilled public health professionals to elicit information about their sex and drug using partners and social contacts in order to notify them confidentially of their possible exposure or potential risk.
Information Sheet: HIV Partner Services for Persons with HIV Infection, P-42114 (PDF, 49 KB)
Wisconsin Statutes and Administrative Code Related to HIV Infection and AIDS
Wisconsin Statutes and Administrative Code Related to AIDS and HIV Infection, P-44295 (PDF, 79 KB)
Revision to Wisconsin HIV Statutes Related to Act
On April 21, 2010, 2009 Wisconsin Act 209 was signed into law. Act 209 eliminated the requirement for written informed consent for HIV testing by replacing it with a verbal consent process. This change will reduce the time and paperwork formerly associated with HIV testing and will encourage health care providers to routinely test in a variety of medical settings. Act 209 also simplifies legislative language and revises laws on disclosure of test results, discrimination, significant exposure, and HIV case reporting.
The following resources include a summary of recent statutory changes, related guidance for clinicians, and sample HIV testing facts sheets that address new statutory provisions on HIV testing and consent.
HIV Testing and Other Resources for Clinicians
Centers for Disease Control and Prevention: Revised Recommendations for HIV Testing of Adults, Adolescents, and Pregnant Women in Health-Care Settings (Published September 22, 2006)
Sample Clinician Script -- Verbal Consent for HIV Testing (PDF, 29 KB)
Sample Consent for HIV Testing form
The following sample forms may be used to record client consent for HIV testing services. They may be adapted without permission.
- Consent for HIV Testing form (English), F-43018 (PDF, 104 KB)
- Consent for HIV Testing form (Spanish), F-43018S (PDF, 36 KB)
Sample HIV Testing Fact Sheets ("HIV Testing: What You Need to Know")
The following sample fact sheets address new statutory provisions on HIV testing and consent. Fact sheets may be adapted without permission.
English, P-00174 (PDF, 31 KB)
(to adapt English fact sheet text, click here for MS Word format)
Spanish, P-00174S (PDF, 25 KB)
(to adapt Spanish fact sheet text, click here for MS Word format)
Hmong, P-00174H (PDF, 31 KB)
(to adapt Hmong fact sheet text, click here for MS Word format)
Sample Authorization for Release of Confidential HIV Test Results
HIV Counseling, Testing and Referral Protocol, P-00539 (PDF, 1 MB)
This protocol was developed to provide an overview of the Wisconsin HIV Counseling, Testing, and Referral (CTR) Program and to identify requirement of agencies contracted to provide CTR services related to counseling, testing, referral, data collection, and record-keeping. CTR sites are required to adhere to this procotol and the terms and conditions of contractual agreements and memoranda of understanding with the Wisconsin Division of Public Health.
Linkage to Care Specialist Program Manual, P-01089 (PDF 2.7 MB)
This manual provides an overview of a patient navigation program developed as part of the federally funded Special Projects of National Significance Systems Linkages initiative. The manual includes program planning and implementation information for HIV service providers interested in adapting or replicating a similar patient navigation program for persons living with HIV.
Social Networks HIV Testing Program Manual, P-01130 (PDF, 2.19 MB)
This manual provides an overview of the Social Networks Testing (SNT) strategy as it was delivered within Wisconsin's federally funded Special Projects of National Significance Systems Linkages initiative. A SNT strategy uses existing social networks to reach persons who are unaware of their HIV status and provide HIV testing and linkage services. The purpose of this manual is to provide strategy planning and implementation information for service providers interested in adapting or replicating a local SNT initiative.