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The Florida Department of Health works to protect, promote & improve the health of all people in Florida through integrated state, county, & community efforts.

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Case Management

HIV/AIDS

Case Management Information
For Florida’s HIV/AIDS programs

This website presents case management operating guidelines which apply to the following programs.

Acrobat Reader* please note all files open in a new window and are less than 5mb in size.

  • Ryan White Part B Consortia Program
  • HIV/AIDS Patient Care Program provided by the Patient Care networks and county health departments as administered by the Department of Health, HIV/AIDS and Hepatitis Program.

The HIV/AIDS Case Management Operations and Guidelines:
Manual
Appendix

*Although these guidelines set minimum requirements for case management programs under the HIV/AIDS and Hepatitis program case management providers under Part A, C and D are encouraged to utilize these guidelines.

please note the following doc and pdf files open in a new window and are less than 5mb in size.

  • Attachment 1 DH 1120 Computer Use and Confidentiality Agreement (A version is required Check with local area)
  • Attachment 2 DH 3204 Initiation of Services (A version is required Check with local area)
  • Attachment 3a Notice of Privacy Practices (A version is required Check with local area)
  • Attachment 3b Notice of Privacy Practices Acknowledgment Form
  • Attachment 4 DH 3203 Authorization to Disclose Confidential Information (A version is required Check with local area)
  • Attachment 5 DH 2116 Consent to Fax (Not Required Check with local area)
  • Attachment 6 Brief Intake/Enrollment Screening (A version is required Check with local area)
  • Attachment 7 Comprehensive Needs Assessment (A version is required Check with local area)
  • Attachment 8 Comprehensive Service Plan (A version is required Check with local area)
  • Attachment 9 Case Closure Form (A version is required Check with local area)