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HIV Consent Form

1) The document is an HIV consent form for a diagnostic test in which the patient confirms being informed about the nature and consequences of a positive or negative HIV test result. 2) The patient consents to undergoing voluntary HIV testing and is not being compelled by any other party such as doctors or friends. 3) The patient understands the test may not be conclusive and additional testing may be needed, and a negative result does not rule out AIDS. The patient gives consent for the HIV blood test.

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deepam
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4K views1 page

HIV Consent Form

1) The document is an HIV consent form for a diagnostic test in which the patient confirms being informed about the nature and consequences of a positive or negative HIV test result. 2) The patient consents to undergoing voluntary HIV testing and is not being compelled by any other party such as doctors or friends. 3) The patient understands the test may not be conclusive and additional testing may be needed, and a negative result does not rule out AIDS. The patient gives consent for the HIV blood test.

Uploaded by

deepam
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
  • HIV Consent Form

TECHMED HEALTH CENTRE AND DIAGNOSTIC (P) LTD

HIV CONSENT FORM


.ஐ. . ஒப்புதல்

This is to confirm that:

 I have been informed in the language I can understand about the nature of HIV test and the
consequences of either positive or a negative report.

.ஐ. (HIV) ( )

( ) .

 I am subjecting myself for HIV testing on my own free will and I am not being compelled to do this
test either by my doctor, family members, friends or the laboratory.

.ஐ. (HIV) ( ,

, , ) .

 I understand that this test may not be conclusive because a positive result means additional tests
may be needed and negative result does not necessarily eliminate consideration of AIDS.

.ஐ. . ( ) ,

( ) .

I hereby give my consent for the performance of the HIV Blood test.
.ஐ. . (HIV) .

Name: ___________________________ Signature: _______________________ Date: ___________

Referred By (Dr.) :

Hospital/Clinic/Lab Name:

TECHMED HEALTH CENTRE AND DIAGNOSTIC (P) LTD HIV CONSENT FORM .ஐ. . ஒப்புதல் Referred By (Dr.) : Hospita

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