• DSHS HIV/STD Program
    Post Office Box 149347, MC 1873
    Austin, TX 78714

    Phone: 737-255-4300

    Email the HIV/STD Program

    Email HIV, STD, Hepatitis C, and TB data requests to the Program – Use this email to request Texas HIV, STD, Hepatitis C, and TB data and statistics. Do not use this email to request treatment or infection history for individuals, or to request information on programs or services. Do not email personal, identifying health information such as HIV status, date of birth, or Social Security Number.

    For treatment/testing history, please contact your local health department.

    For information on HIV testing and services available to persons living with HIV, please contact your local HIV services organization.

Program Operating Procedures and Standards


The Texas Department of State Health Services (DSHS), HIV/STD program is pleased to provide the HIV and STD Program Operating Procedures and Standards manual. Please note that program and contract policies established by the HIV/STD program are separate documents. They are not included in the HIV and STD Program Operating Procedures manual except by reference.

Table of Contents

Chapter

Title

Last Updated

1

Focused HIV/STI/HCV Testing, Counseling and Linkage to HIV Medical Care

2/2019

2

HIV/STI/HCV Testing and Linkage Documentation

2/2019

3

HIV/STI Partner Services and Seropositive Notification

4/2014

4

HIV Testing in STI Clinics

4/2014

7

HCV Testing

4/2014

8

HIV/STI Surveillance

-

9

Disease Intervention Specialists Performance Standards
Disease Intervention Specialists Performance Standards (PDF)

5/2022

10

First-Line Supervisors Performance Standards
First-Line Supervisors Performance Standards (PDF)

5/2022

11

Regional and Local Health Department HIV/STD Program Manager Performance Standards
Regional and Local Health Department HIV/STD Program Manager Performance Standards (PDF)

5/2022

12

STI Clinical Standards
STI Clinical Standards (PDF)

4/2022

13

Administrative Agency Core Competencies

-

14

Client File Organization, Content and Security Standards

-

15

Client Referrals Standards

-

16

Routine HIV Screening in Healthcare Settings

3/2019

17

Health Insurance Program Standards

-

18

Pick-up and Delivery of Prescription and Over-The-Counter Medications Standards

-

19

Individual and Group HIV Prevention Interventions

1/2020

20

Direct Client Services Volunteer Programs Standards

-

22

Pre-Exposure Prophylaxis (PrEP) and Non-occupational Post-Exposure Prophylaxis (nPEP)

1/2020

23

Congenital Syphilis

3/2020

24

Structural Interventions for HIV Prevention

4/2022

C

Appendix C: TDCJ Memo (PDF)

-

E

Appendix E: STD*MIS System Maintenance

-

F

Appendix F: CDC Surveillance Case Definitions

-

G

Appendix G: HARS and STD Site Maps (PDF)

-

Forms

Form

Title

Last Updated

J-6

Disclosure and Consent Human Immunodeficiency Virus (HIV) Test (English) (DOC)
Disclosure and Consent Human Immunodeficiency Virus (HIV) Test (English) (PDF)

10/2007

J-6

Revelación y consentimiento para la prueba del virus de inmunodeficiencia humana (VIH) (Spanish) (DOC)
Revelación y consentimiento para la prueba del virus de inmunodeficiencia humana (VIH) (Spanish) (PDF)

10/2007

L-30

Authorization to Release Confidential Information (English and Spanish) (PDF)

7/2016

L-36

General Consent and Disclosure (English and Spanish) (DOC)
General Consent and Disclosure (English and Spanish) (PDF)

4/2010

-

700 & 900 Case Management Audit Form (DOC)
700 & 900 Case Management Audit Form (PDF)

12/2009

-

DIS Audit Tracker (XLS)

11/2021

-

Field Investigation Audit Form (XLS)

3/2022

-

Field Record (Pouch) Review/Audit Form (XLS)

3/2022

-

Interview Audit Form (XLS)

3/2022

-

Syphilis and HIV Case Audit Form (XLS)

3/2022

STD-28

Notification of Laboratory Test Findings Indicating Presence of Chlamydia Trachomatis, Gonorrhea, Syphilis, Chancroid, HIV Infections or Suppressed CD4 Counts
(contact the program for more information)

-

You can order the following HIV/STD forms through the CDC STD Prevention website .

Project Area STD staff will need a User ID and Password to order field intervention forms. Contact your STD Program Manager or ICCR Clerk for information.

CDC Forms

  • Interview Record (CDC-7354)
  • Visual Case Analysis Sheet (CDC-7354D)
  • Field Record (CDC Form 29.36S) (CDC-73D)
  • Field Record (Work Copy) (CDC-73W)
  • Congenital Syphilis Case Investigation and Report (Instructions) (CDC-73.126)



Last updated May 20, 2022