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88-1332 WHITE - CITV CLERK PINK - FINANCE G�I TY OF SA I NT PAU L Council CANARV - DEPARTMENT File NO• ��_���� BLUE - MAVOR Counci esolution --��� ` ` • �� ?��� � Presented By Referred To Committee: Date Out of Committee By Date RESO�VED, that the proper City Officials are hereby authorized and directed to execute a contract with the State of Minnesota, Minnesota Department of Health; WHEREBY, the City shal l provi de ri sk reduction and di sease prevention education and counseling, antibody testing and referral service to persons at increased risk of exposure to the human immunodeficiency virus (HIV) , the causative agent of Acquired Immunodeficiency Syndrome (AIDS) . The services are to be provided through the Saint Paul Family Planning Program according to the terms of said contract, a copy of which is kept on file and on record in the Department of Finance and Management Services. COUNCIL MEMBERS Yeas Nays Requested by Department of: Dimond ��v [n Favor Goswitz �— �be1�j � Against BY � Sonnen Wilson AU�'j � � .'� Form Ap e by City At rne Adopted hy Council: Date � c Certified Passed u cil c et y BY g�. A►pproved by avor�, D � �uu i � � Approved by Mayor for S is '+n to Council By �"`�v BY Rl�?PS�iEB !;!;� ? �� ��g� �-/33�, N°_: �13676 � G�ma�uL7.ty Servioes DEPARTMENT . - - - -- - — , MarY SOrin£n CONTACT NAt�E ` , �:; . �E � �99_7735 PHONE �L�1�-_?_f;; ;a 9f3f3 :DATE ASSIGi� pi31�8ER F08 ROUTING ORDER: (See reverse side.) ��t I�� .,,]� Department Director ' 3 Mapor (or Assistant) _ Finsnce and l�tanagement Services Director 4 City Glerk RECEIVE�, :Budget Director , City Attorney _ � G A 5 (Clip all locatioas for signature.) C0�� �IAT WILL BE ACSIEVED B�t TAKING ACTION ON TfIE ATTAC�iBD 1�lATF.it?ALS? (Purpose/Rationale) � �_Re�olution to allaw City sic�natures on an agresnent bebw+een the City of Saint Paul and the Mitn�so�ta D�x�nt of Hea].th. Ui�der the tenns of the c�ontract the Div3.sion of pub�;ic Health will prpvide risk reduction and disease p�revention edi�cation arid vo�e7.ixuJ. �'��X--�t�J ar�d referral servic�es to persons at increased ri.sks of exp�sure tc� AcxXui.red Iamnauu�eficiency SYndx'ane (�DS) - CQST/BENEFIT. BUDGETARY. AND PERSONNEL IMPACTS ANTICIPATED: F'tn�d will be reaeived for the Minnesota Deaprtment of Health_for the vocitract pericad frcm July 1, 1988 to June 30, 1989. Zbta.l a¢rount of oontraat $16,240. No p�sso�mmel i�a�ets are ��� anticipat�ed. RECEIVED JUL. 2 91�r�8 FINANCING SOURCE AI�D BUDGET ACTIVITY NUMBER CHARGED OR CRLDITED: (M$yor's signature not required if under $10,000.) MAYOf�°S ��r•�cE Total Aa�unt of Trans�ctian: $16,240 Activity Number: 33233 Fwza�g sour�s: ru,r,nesota �ar�n�ent of xealtt� Council Research Center, �TTACHMENT3: (List and number all attachments.� AUG 2 1988 1. �;.1 �1�� RECEIVED �: �nmt -�-original and fo�ur �ies J U L u 8 1988 �`1 TY �1�"i't',��'J'��'`�; A,,�11�IINISTRATIVE PR�CEDURES j _Yes _No Rules, Reguiations, Procedures, or Budget A�endment required? _Yes _No If yes, are they or timetable attached? DEPARTMENT REVIEW CITY ATTORNEY REVIEW � , Yes �_No Council rasolution required? Resoiution required? �Yes _No � _Yes _No Insuratice required? Insurance sufficient? _Yes _No� Yes _No Insurance .attached? � �� -/,.3 ,3� ►' ; , �-f�� el e � STATE OF MINNESOTA � GRANT CONTRACT THIS GRANT CONTRACT, which shall be �interpreted pursuant to the laws of the State of Minnesota between the State of Minnesota, acting through its Minnesota Department of Health (hereinafter STATE) And: City of St. Paul, Acting through its Division of Public Health Address: 555 Cedar St., St. Paul , Minnesota 55101 � Soc. Sec. or MN Tax ID No. : N/A Federal Employer ID No. (if applicable): 1-416005521-AI (NOTICE T0 6RANTEE. You are required by Minnesota Statutes, Section 270.66, to provide your social security number or Minnesota Tax identificatian number if you do business with the State of Minnesota. This information may be used in the enforcement of federal and state tax laws. Supplying these nnmbers could result in action to require you to file state tax returns and delinquent state tax liabilities. THIS GRANT CONTRACT WILL NOT BE APPROVED UNLESS THESE NUMBERS ARE PROVIDEO. These numbers will be available to federal and state tax authorities and state personnel involved in the payment of state obligations). - . (hereinafter GRANTEE), witnesseth that: . WHEREAS, the STATE, pursuant to Minnesota Statutes 144.05 B is empowered to provide for the organization of services for prevention and contral of disease and limitation of disabilities resulting therefrom AND WHEREAS, GRANTEE represents that it is duly qualified and willing to perform the duties set forth herein, NOW THEREFORE, it is agreed: I. GRANTEE'S DUTIES. GRANTEE, who is not a state emplayee, shall for a period beginning July 1, 1988 and ending June 30, 1989, provide risk reduction and disease prevention education and counseling, antibody testing, and referral services to persons at increased risk of exposure to the human immunodeficiency virus (HIV), the causative agent of acquired immunodeficiency syndrome (AIOS). These duties include, but are not limited to the following: A. Provide each client with a copy of the AIDS Risk Assessment form, (see Attachment A), developed by the Minneapolis Health Department. Clients will be instructed to complete this self- administrated assessment tool and return form to the counselor/clinician. Clients who answer yes or unsure to questions 12-14, 19-27, or report multiple sex partners will then receive individual counseling in response to their answers. The counselor/c�inician will recommend the fotlowing clients receive the HIV antibody test: . 1) men who have had sex with another man since I977; 2) persons 1 ti �'� '/33.�- , who have intravenously self-administered illicit drugs or chemicals since 1917; 3) persons with clinical or laboratary evidence of HIV infection, such as those with signs or symptoms compatible with AIDS or AIDS-related complex; 4) persons born in countries where heterosexual transmission is thought to play a major role (e.g. , Haiti, Central African countries); 5j male or female prostitutes and their sex partners; 6) sex partners of HIV infected persons or persons at increased risk; 7) all persons with hemophilia who have received clotting-factor products and 8) persons who have had 4 or more sex partners in the past 12 months. � In the program referred to in Clause I, the GRANTEE sha11: 1. Provide qualified personnel who are specifically trained in counseling persons about HIV risk reduction, disease prevention, and notification and referral of sexual and needlesharing partners. Provide documentation to STATE of training which has been completed or is to be completed, for approvaT on all personnel providing the aforementioned services. 2. Counsel each person before providing HIV antibody testing and include: ' a. individualized assessment of risk of exposure to HIV; and b. information about the nature and meaning of the test and - its results for the individual ; and c. risk-reduction and disease prevention recommendations specific to the person's risk of exposure to HIV; and � d. the need to notify sexual and/or needlesharing partners if the HIV antibody test is positive. 3. Provide HIV serologic testing of serum specimens collected from person at increased risk of exposure to HIV and submit specimens only to qualified laboratories approved by the STATE. 4. Use written materials such as posters, literature and pamphlets as determined by the GRANTEE to inform and educate person at increased risk of exposure to HIV. 5. Counsel each person .after HIV antibody test results have been provided to the persan, and include: a. assessment of the person's emotional response to the test results; and b. information about the meaning of the test result for the person; and c. risk reduction and disease prevention recommendations specific to the person's risk of exposure to HIV. . 2 . �. ��- /3�� 6. Assure that each HIV seropositive person receives referrals for medical evaluation and psychosocial support. 7. Assure that each HIV seropositive female receives a -referral for contraceptive couhseling. 8. Counsel each HIV seropasitive person about notifying and referring their sexual and/or needlesharing part�ers for the purpose of HIV risk reduction and disease prevention counseling and antibody testing. � B. Conduct educational and informational activities which wi11 enhance the level of participation in this program� of persons at increased risk of exposure to HIV. C. Provide the services described in Section I. , A-B, at times that are reasonably convenient for the majority of people in the risk groups in Section I, A. (above). D. Assure the confidentiality of all patient records and records of test results. E. Collect statistical and other summary -data on persans seeking the HIV antibody test using forms provided by the STATE. (See Attachment B) . F. Provide the services described in this contract at no charge to any person requesting them. . G. Report HIV seropositives to the AIDS Epidemiology Unit at MDtf using reporting cards provided by the State. II. CONSID�RATION AND TERMS OF PAYMENT. � A. CONSIDERATION for all services performed and goods or materials supplied by GRANTEE pursuant to this grant contract shall be paid for the STATE as follows: 1. The total obligation of the STATE for all compensation and � reimbursements to GRANTEE shall not exceed sixteen thoasand two hundred and forty dollars (a16,240.00} . 2. Reimbursement for travel and subsistence expenses actuaTly and necessarily incurred by GRANTEE'S performance of the grant contract in an amount not to exceed zero dollars (a0.00) ; provided, that GRANTEE shall be reimbursed for travel and subsistence expenses in the same manner and in no greater amount than provided in the current "Commissioner's P1an" promulgated by the Commissioner of Employee Relatians. GRANTEE shall not be reimbursed for travel and subsistence expenses incurred outside the State of Minnesota unless it has received prior written approval for such out-of-state travel 3 .� . �� /�3 � from the STATE. 3. Compensation shall be consistent with the Pragram Line Item Budget below. GRANTEE shall not seek, nor shall the STATE pay, compensation to GRANTEE for any indirect, overhead or administrative costs. not otherwise inCluded as an expense within the Program line Item Budget. Proaram .ne �tgQ Budaet The GRANTEE sfiall adhere to the following program budget in performing the activities listed in Clause I, GRANTEE'S DUTIES: Categorv of Exnenditure Estimated A1location 1. COUNSELING SERVICES S 12,500.00 500 persons @a25.00/person 2. TESTING SERVICES . a 3,740.00 500 screening tests @57.00/test:E3,500.00 16 confirmatory tests @ E15.OQ/test:�240.00 TOTAL . S I6,240.00 Modifications within each category of the above line item budget of less than 10 percent of any line item are permitted without prior approval by the STATE, so long as notification of such modifications is made through the sabmitted monthly � expenditure reports. Provided, however, that the total obligation of the STATE for all compensation and reimbursements to GRANTEE shall not exceed sixteen thousand two hundred and forty dollars (�16,240.00) . B. TERMS OF PAYMENT 1 . The STATE will reimburse for counseling and testi�g of persons who have been identified as at risk and checked off in any box 27-39 on this form, or who have four or more listed under boxes 58-60 for numbers of sex partners in the Iast I2 months (See Attachment B). 2. Receive the rate of reimbursement of twenty-five dollars (�25.00) for each person who is tested and who receives counseling. , 3. Receive reimbursement for the actual cost of HIV serologic test, not to exceed rates as shown in (a) and (b) below, for - each person who is identified as being at increased risk of exposure to HIV, and who receives counseling concerning reducing their risk of exposure, disease prevention, and prevention of disease among others. GRANTEE sha11 not exceed 4 ..,.,.�..,_.._�_____ ,'.-,..�.-.-.,�,�._....�.. -�_�:._-----...-. 0 o i ,� ,�� these amounts without the prior written consent of the STATE's authori2ed agent for this contract. a. Seven dollars (�7.00j per HIV antibody screenirtg test (EIA) performed. b. Fifteen dollars (515.00) per confirmatory test (Western blot) performed. 4. The. total reimbursement by the State. for screening and confirmatory tests shall not exceed three thousand seven hundred and forty dollars (53,740.00)� without the written consent of the STATE's authorized agent for this contract. 6. 6RANTEE shall present invoices for services performed monthly, na later than the twenty-fifth calendar day following the month of invoice, reflecting only those services performed durinq the month of the invoice. C. Invoices for services performed shall be presented on forms provided by the STATE according to the line item budget above. Form to be used is presented in Exhibit A, attached hereto and made a part hereof. III. CONDITIONS OF PAYMENT. All services by GRANTEE pursuant to this grant contract shall be performed to the satisfaction of the STATE, as determined in the sole discretion of its authorized agent, and in accord• with all applicable federal , state and local laws, ordinances, rules and regulations. GRANTEE shall not receive payment for work found by the STATE to be unsatisfactory, or performed in violation of federal , state, or local law, ordinance, rule or regulation. �IV. TERM OF GRANT CONTRACT. This grant contract shall be effective on July 1, 1988, or upon such date as it is executed as to encumbrance by the Commissioner of Finance, whichever occurs later, and shail remain in effect until June 30, 1989, or until all obligations set forth in this grant contract have been satisfactorily fulfilled, whichever occurs first. A. 6RANTEE shall have ninety (90) days immediately following the end of the grant contract period to liquidate all unpaid obligations related to the project incurred prior to the end of the grant period and to submit a detailed accounting of these cumulative expenditures to the STATE. B. 6RANTEE will return to the STATE all funds provided by the STATE which are not expended for allowable project costs within ninety (90) days following the end of the grant contract period. V. CANCELLATION A. Upon GRANTEE'S substantial failure to comply with the provisions of this grant contract, the STATE may terminate this grant contract without prejudice to the right of the STATE to recover any money previously paid. The termination shall be effective upon the STATE 5 � � � �� - f� '�>� Q giving GRANTEE written notice at its last known address. B. The STATE or GRANTEE may cancel this grant contract at any time, with or without cause, upon sixty (60) days written notice to the other party. In the event of such cancellation, GRRNTEE shall be entitled to payment, determined on a pro rata basis, for services satisfactorily performed. C. Should this grant contract be terminated prior to the scheduled date, GRANTEE shall refurrd to the STATE a11 remaining unexpended grant contract monies within forty-five (45) days of the date of effective terminatio�. VI. STATE'S AUTHORIZED AGENT. The STATE'S authorized agent for the purposes of administration of this grant contract is � Mary K. Sheehan, Minnesota Oepartment of Health. Such agent shall have that authority for acceptance of GRANTEE'S services and if such services are accepted as satisfactory, shall so certify on each invoice submitted pursuant to Clause II, paragraph B. VII. ASSIGNMENT. GRANTEE shall neither assign nor transfer any rights or obligations under this grant contract without the prior written consent of the STATE. � VIII. AMENDMENTS. Any amendments to this grant contract shall be in writing, and shall be executed by the same parties who executed the original grant contract or their successors in office. ' IX. LIABILITY. GRANTEE agrees to indemnify and save and hold the STATE, its agents and employees harmless from any and all claims or causes of action arising from the performance of this grant contract by GRANTEE or GRANTEE'S agents or employees. This clause sha11 not be construed to bar any legal remedies GRANTEE may have for the STATE'S failure ta fulfill its obligations pursuant to this grant contract. X. STATE AUDITS. The books, records, documents, and accounting procedures, and practices of the GRANTEE relevant to this grant contract shall be subject to examination by the STATE, the legislative auditor, and the state auditor. Records shall be sufficient to reflect all costs incurred in performance of this grant contract. GRANTEE will comply with federal audit requirements pursuant to the Single Audit Act of 1984 (P.L. 98-502) and Office of Management and Budget (OMB) Circular A-128. XI. OWNERSHiP OF DOCUMENTS. Any reports, studies, photographs, negatives, or other documents prepared by GRANTEE in the performance of its obligations under this grant contract shall be the exclusive property of the STATE and all such materials shall be remitted to the STATE by GRANTEE upon completion, termination or cancellation of this grant contract. GRANTEE shall not use, willingly allow or cause to have such materials used for any purpose other than performance of GRANTEE'S obligations under this grant contract without the prior written cansent of the STATE. XII. AFFIRMATIVE ACTION. (When applicable) GRANTEE certifies that it has 6 C ��� � �� received a certificate of compliance from the Commissioner of Human Rights pursuant to Minnesota Statutes, Section 363.073. XIII. WORKER'S COMPENSATION. In accordance with the provisions of Minnesota Statutes, Section 176.182, the GRANTEE has provided acceptable evidence of compliance with the workers' compensation insurance coverage requirement of Minnesota Statutes, Section 176.181, Subdivision 2. XIV. ANTITRUST. GRANTEE hereby assigns to the State of Minnesota any and all claims for overcharges as to goods and/or services provided in connection with this grant contract resulting from antitrust violations which arise under the antitrust laws of the United States and the antitrust laws of the State of Minnesota. XV. DATA PRACTICES. The GRANTEE shall agree to indemnify and save and hold � the STATE, its agents and employees, harmless from any and all claims or causes of action arising from a violation of any provisiort of Minnesota Statutes 13.01-13.90. XVI. VOTER REGISTRATION. (When applicablej GRANTEE sha11 provide nonpartisan voter registration services and assistance, using forms provided by the STATE, to employees of GRANTEE and the public as required by Minnesota Statutes, 1987 Supplement, Section 201.162. XVII. GRANTEE certifies that no funding provided under this grant contract will be used to support religious counseling or partisan political activity. XVIII. OTHER PROVISIONS. A. 6RANTEE agrees to utilize competitive bidding and other procedures required by Federal , State, and local laws, ordinances, or � regulations governing purchasing and fiscal procedures. B. The STATE shall , during the course of this grant contract, evaluate GRANTEE'S progress towards goals and objectives of the grant contract and compliance with any special conditions. The STATE reserves the right to request additional information from GRANTEE to carry out its evaluation. C. GRANTEE agrees to make all its financial records reTated to the grant contract available to the STATE upon request during normaj working hours. D. If the GRANTEE has an independent audit, a copy of the audit shatl be submitted to the STATE. E. GRANTEE agrees that prior to subcontracting any funds received under this grant contract it shall receive written approval from the STATE. F. Pursuant to Minnesota Statues, Section 176.I82 (1986}, GRANTEE certifies it is a self-insured political subdivision-. 7 �� -i3J � IN WITNESS WHEREOF, the parties have caused this grant contract to be duly executed intending to be bound thereby. (1) GRANTEE , (3) ATTORNEY GENERAt (If a corporation, t o orporate officers By: must execute.) � Date• By Title: r (4) COMMISSIONER OF ADMINIS7RATION Date• By• Date• By: " Title: Dir., Dept. of Ccmmunity Servioes (5) COMMISSIONER OF FINANCE Date: °� Z-P' ,�� � By: Date• (2) STATE AGENCY OR DEPARTMENT: By: Title: � Date: Misc./contract � . 12/28/87 sjt GRAl�'I�E By: Title: Dir., De t of Finance & Managanent Date: APPROVED AS TO FORM: 1�J f Assistant City A torney 8 �---.�----.�-. �:�,..n •� 'V . . ' � V f/ � � , Y Exhibit A COUNSELIN6 AND' TEST SITE INYQICE � CONTRACTOR Name: Address: ' Telephone Number: Service Period: CONTRACTOR's Agent Signature: Counseling Services (#) persons counseled @ � �person Testing . (#) screening tests performed @ a /test (#) screening tests performed @ � /test TOTAL � � 9 aG���_� gg�f��°- __ �-� -/ 33'� �� Hea 1 th Woricer �lttachment A , AIDS RISK ASSESSMENT is information is private. No names lease! The questions can help you identify whether you may have been exposed to t�ie IDS virus. Your responses will be shared oniy with the'. counselor/nurse, and then will become part'of an anonymous (no names) data base used to help us plan and evaivate heatth programs. Filling out the form is voluntary and wi11 not be used to deny services. CIRCLE ONE True - T False - F Don't Know - DK T F DK 1. AIOS is an illness in which your body cannat fight aff diseases. T F DK 2. You can usually tell �fif you've been infected with the AIOS virus. T F OK 3. If you are infected with the AIDS virus you can infect cthers. T F DK 4. A person can get AIDS by sharing rteedles and syringes with an infected person. T F DK 5. Anal intercourse may increase your chances of getting. AIDS. T F DK 6. Having sex witfi someone who has AIOS is one way of getting it. T F DK 7. If a preqnant woman has AIOS she� can give the virus to her unborn baby. T F OK " 8. Anybody can get AIDS. T F DK 9. Condoms (rubbers) are 100� effective in preventing AiaS. T . F DK 10. There is a blood test available which can teT1 you if you have been infected with the AIOS virus. 11. List three ways to protect yourself and athers from gett�ng AIDS: � a. b. c. yes / no / �nsure 12. Have you, or a sex partner, had a blood transfusion between 1917 and June, 1985? yes / no / unsure 13. Do you or a past or present sexual partner have a bleedfng disease (hemopi�jlia)? yes / no / unsure 14. Have you had sex with more than one person in the past six years? 15. Approximately how many sex partners have you had during the past two years? 10 or More 5-9 2-4 1 None 16. Approximately how many sex partners have you had during the past three months? 10 or More 5-9 2-4 I None : ,> �. ,: 17. How often do you use rubbers whert having vaginal se�c? Always Sometimes Almost Never _,�tever .,, 18. If you don't like to use condoms, please say why you don't. _,�es i no / unsure 19. Have you had anal sex (sex in the rectur;? 20. If you have had anal sex, did you use condoms? Yes No Not Applicable yes / no / unsure Z1. Have you ever had sexual contact with a person of the same sex? yes / no / unsure 22. Have you, or a sex partner, had a sexually tran�mitted disease - during the past six years? yes / no / unsure 23. There have been many cases of AIDS in Centrai africa an� Nait? . Have you, or a sex partner, had sex or•� used street dru5s injected by needles while in these countries or with someone who has 1 i ved i n th�ese_ countr�e� —""' — �"" '------ yes / no / unsure 24. Have you, or any of your sex ��partners, had QIOS, AIDS symptams, or a positive blood test for AIDS? 25. It is important to think about your sex partner's partners . yes / no / unsure - Do you think any of yaur sex partners have had sex with other women? yes / no / unsure - Do you think any of your sex partners have had sex with other men? yes' / no / unsure - Do you think any of your se�c. partners have had -sex with both men and women? yes / no / unsure - Do you think any of your� sex partners have had sex with people who have used street drugs • � . injected by a needle? yes / no / unsure 26. Have you ever had unplanned sex because you were high? (Under the �influence of alcohol or drugs such as cocaine, marijuana, speed, crack, etc.) yes / no / unsure 27. Have you, or a sex partner, ever used street drugs 1n3ected by a needle? 28. Now often do you use street drugs �njected by a need.le? Regularly Sometimes Once or Twice Never Your Age Grade Completed Your Race: White Americart Tndian Black :Hispanic� �ale� Female Asian acific Islander Qther -.,�,,._ _ Marital Status: Never Married Married Widowed ' Divorced Separated Your main source of AIDS information: Friends Parents T.V./Newspaper Nealth �1 nic School QUESTIONS OR CONCERNS ABOUT AIDS? Office Us:e Only: Minnesota AIOS Line: Twin Cities: (612)870-0700 "At 'Risk Yes N . Greater MN: 1-800-248-AIDS Test Yes N Minnea�olis Health Deaartment `Re�erred Yes h' . . ' HIY COUNSELIN6 ANO TESTIt� �� � � 3`�(9-�3) aTTACfl►�EttT S PATIENT INFORMATION Site Code: ITI Date Tested: ITI/ITI/ITI ID No. (i-z) � T3-8f' � -� Marital Status: Age: I_I_I ' (18 (ia-is)_ • E1) i_I Singl e ' Sex: I`i Male (1) (2) 1 I Married • (16) i_I Femal e (2) (3) (-1 Oivorced (a) I—) Separated Race:l I White (i) i—i Asian �5) (5) I f Widaw/Widower (17) I I Black (z) I_I •Other (6) (6) I_i Refused/Unknown I I Hispanic (3) . - ( I Amer. Indian- (a) ' County of residence: I�_I (for office use) i9-21) Results: EIA: WB: Post-test Counse : _ (22) (2s) - (2a) . (i)I_I Non-reactive ti) I_1 None (i) I_I Yes (2)I_I Reactive (2) I_I Negative (2) i_I Na (3) I_I Positive (4) i_I Indeterminate Primary Reason for Test: Prioiary Referral Source: (check one) �25) �26� (1) I I Screeni ng (i)1_1 Sel f-motivated (�; I I HIV contact (2)I_) Infected Partner (3) i_i HIV symptoms (s)I_I Health Dept. Representative , (a)��) PtLysi ci an� . � ' (s)(_I Soci al Servi ce Agency _ Ri sk 6roup: I(e)I_I Other (check all which apply) ( (specify ) . I (2�)I_I Gay � . (2s)I_I Bisexual ' Neterosexual contact with: (29)I_I IV drug use � ' (3o)i_I Male prostitute (34)I—I Bisexua] � (31)I_I Femal e prosti tute (ss)I—I IV drug user (32)I I Born i n hi gh i nci dence country t36)I I Mal e prosti tute (33)i—I Person wi th hemophil i a (3�)I I Femal e prosti tute (3811 I Person with hemophil fa �39�I_I Person born i�n high irtcidence country (ao) I I None of the above (explain) (including tcansfusion recipient, health care worker. etc.) Test History: (41-42) Number of months since last at-risk exposure: I_I_I �3� Previous anti-HIV test? I ! Yes (i) If Yes. number of months aa-4s) 1 1 No (2) since last test? I i I Results EIA: MB: Site: of last (a� (a�) � (as) test: (13 I I Non-reactive (1)I_I None (i) I_( CTS (2) 1_I Reactive (2)I�I Negative (2) ( I Physician (3)I I Positive (a) I i Blood Bank (n)i_I Indeterminate �(4) ( I Plasma Center (5; I I Other • - over - (spectfy) Now many times has patient had anti-HIV test? I I I ta9-5o Has patient received any IG product (i.e., HBIG, Rhogam) in the past 6 months? (1) {2) . I I Yes i_I No If Yes, how many weeks ago? I�i (51) �1) �2) �52-53) Has patient received Hepatitis B vaccine? I I Yes ( I No . 54� _ • � Risk Reduction Number (total ) of different sex partners in last 3 months I��i �55-57j In last 12 months ITl—) � (58-b0) Number of partners of same sex in l ast 3 months (�l_I (61-63) In 1 ast 12 months I_I_�I . �(64-66) Number of different partners with whom needl es have been shared in 1 ast 12 months I I I I (67-69) Has patient donated blood or semen since 1977?(1)I—I Yes ' (2)I I No If yes. Date Facility (�o) City. State In the last 3 months. has patient engaged in: . Anal Intercourse � �Vaginal Int�rcot�rse Sharing Needles �. With Condom: (1) I ( Yes With Condom: (1) I�I Yes (1) I ( Yes (2) I I No . (2) I I No (2) I�t No (71) � (73) 75) Without Condom: (i) i—( Yes Without Condom: (1) I�) Yes (2} I I No t2) I I No (i2) � (ia) Is patient aware of safe sex practices?' (1) I ( Yes (2) i i No _ (76) Has patient ever. been treated for syphilis? (1) i I Yes If Yes, date last: t2) I I No (�s-si) (n) I I t/1 I t T Mo. Yr. Where does patient get"the most reliable information on AIDS? (check all that apply) (s2)I I TV (ss)I I Daily Newspapers (as) I I Don't know (a3)I_I Radio t86)I I Friends (89) ( I Other (8a)I_I Gay Newspapers (s�)I_I Heal th Info. Services Clinician Cou�selor Notes: �