MCN’s customizable template, Consent for the HIV Test (Sample Form), is taken from our Administrative Manual for Ambulatory Care Facilities. MCN Healthcare’s proven policy and procedure templates, competencies and compliance tools have assisted more than 20,000 health care organizations worldwide meet their regulatory compliance goals.

MCN’s templates save you time, money and resources, rather than developing healthcare policy and procedure manuals from scratch.

Here is some sample content from Consent for the HIV Test (Sample Form):

	CONSENT FOR THE HIV TEST SAMPLE FORM Patient's Name: I am consenting to be tested to see whether I have been infected with the Human Immunodeficiency Virus HIV which is the probable causative agent of Acquired Immune Deficiency Syndrome AIDS. THE MEANING OF THE TEST: This test is not a test for AIDS, but only for the presence of HIV. Being infected with HIV does not mean that I have AIDS or that I will have AIDS or other related illnesses. Other factors must be reviewed to determine whether I have AIDS. Most test results are accurate, but sometimes the results are wrong or uncertain. In...
Second excerpt:
	...test results have been made known. MORE INFORMATION: I understand that before I decide to take this test, I should be sure that I have had the chance to ask my physician any questions I may have about the test, its meaning, its risks and benefits and any alternatives to the test. By my signature below, I acknowledge that I have read and understood the information in this form, that I have been given all of the information I desire concerning the HIV test, its meaning, expected benefits,...