Following here is a typical form, representative of the form with which one would be confronted at the time of testing. See Non-continuing form HERE.
WHAT the TEST MEANS
A POSITIVE test means that a person is infected with HIV and can pass it to others. By itself, a positive test does not mean that a person has AIDS, which is the most advanced stage of HIV infection.
A NEGATIVE test means that antibodies to HIV were not detected. This usually means that the person is not infected with HIV. In some cases, however, the infection may have happened too recently for the test to turn positive. The Blood test usually turns positive within 1 month after infection and in almost all cases within 3 months. Therefore, if you were infected very recently, a negative test result could be wrong.
False results (a negative test in someone who is infected, or a positive test in someone who is not infected) are rare. Indeterminate results (when it is unclear whether the test is positive or negative) also are rare. When a test result does not seem to make sense, a repeat test or special confirmatory tests may help to determine whether a person is or is not infected.
BENEFITS of BEING TESTED
There are other reasons to be tested. Even though everyone should follow safer sex guidelines whether or not they are infected with HIV, many persons find that knowing their test results helps them to protect their partners and themselves. Some persons want to know their test results before beginning a new sexual relationship or becoming pregnant. Others will be reassured by learning that they are not infected.
RISKS and DISADVANTAGES of BEING TESTED
PRIVACY and CONFIDENTIALITY
Washington State law requires that health care providers and laboratories report to the local health department the name of anyone infected with HIV. However, the report is coded and the name is destroyed after 90 days. No lists of names are maintained. Penalties for violations of the confidentiality laws are severe.
Anonymous HIV testing is available. If you do choose to test anonymously, your record will contain only your personal ID code. It will not show your name. To assure that results are provided only to the person who tested, you must confirm your identity with your personal ID code when you return or call for your test results.
OTHER IMPORTANT INFORMATION
If your test is positive and you do not call or return to learn the result, we will try to contact you to tell you the result and provide you with appropriate counseling. If your HIV test is positive, persons with whom you have had sex or have shared needles must be informed that they may be infected and that they should be tested for HIV. If you are unable to inform your partner(s) or do not wish to do so, we can do it for you without disclosing your identity.
Your Blood test results, as well as Information about you that we collect at the time of testing, may be used for research purposes. If you agree, we will store a sample of your Blood for possible future use in research (such as evaluating new tests) or to check the quality of our HIV testing methods. Even if your name is in your record, your identity will not be known to the person or persons analyzing the data or preparing materials for publication or public discussion.
CONSENT for HIV TESTING
I have read and understand the above information. I have been advised of the nature of the HIV Blood test; what the results would mean; and the benefits and risks of being tested. I understand that I have the alternative of not being tested. I hereby authorize the Public Health Department to perform this test and to release the results to me.
I do__ do not__ (please check only one) give
permission for a portion of my Blood specimen to be stored for possible future testing.
I certify that the person named above has been given an
opportunity to read the above information and ask questions, that he or she understands
the issues discussed, that his or her decision to undergo HIV testing is an informed and
voluntary one, and that I have witnessed his or her signature.
CONSENT and CERTIFICATION for REPEAT