HCA HIV Planning & Coordination

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Contact Us

HIV Planning and Coordination Unit
1725-B W. 17th Street
Mail: P.O. Box 6099, Bldg. 50B
Santa Ana, CA 92706

Phone: (714) 834-8711
Fax: (714) 834-8270

Resource Documents

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Tools for All Providers
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Provider’s Guide to HIV Prevention, Care, and Supportive Services
(ADA Compliant, 73k PDF brochure)

Download Resource Guide (Adobe Acrobat version)

Training Resources

Training Resources - Acrobat PDF version

Tools for Care Providers

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ARIES Required and Recommended Data Fields Care Provider Important Dates - Acrobat PDF version Eligibility Requirements, Eligibility Document Checklist, and Client’s Signed Statements - Excel version

Care Provider Important Dates
Fiscal Year 2012

Care Provider Important Dates - Acrobat PDF version

Dental Referral Form new

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Dental Services Frequently Asked Questions new

Care Provider Important Dates - Acrobat PDF version

Eligibility Screening Process and Flowchart new

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Eligibility Screening Process FAQs new

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Ryan While/HOPWA Eligibility Requirements & Poverty Links new

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Ryan While Registration & Eligibilty Form Template new

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HIV Services Quarterly Narrative Report Template new
form # F042.04.1398

HIV Services Quarterly Narrative Report Template

Memo: Client Referral Process
To: Ryan White Service Providers
(ADA Compliant, 60k PDF brochure)

Memo: Client Referral Process (Adobe Acrobat version)

Ryan White Dental Referral Process for Providers

Care Provider Important Dates - Acrobat PDF version

EVF Supplemental Form Template new

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Sample Referral acrobat-sm

Monitoring Standards Links new

  • Part A Fiscal Monitoring Standards
  • Part A Program Monitoring Standards
  • Part A & B Universal Monitoring Standards
  • Part A & B Monitoring Standard FAQs

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Tools for Prevention Providers
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Prevention Biannual Narrative Report Template updated
form # F042.04.1399

Prevention Biannual Narrative Report Template
Prevention Materials Review Protocol

Prevention Materials Review Protocol (PDF)

Prevention Materials Review Request Form

Prevention Materials Request Form (fillable Word doc)

Prevention Provider Important Dates updated
Fiscal Year 2012

Prevention Provider Important Dates - Acrobat PDF version

Ryan White Services Standards of Care

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Case Management Standards of Care for Ryan White Act-Funded Services in Orange County
(16 page, 163k PDF document)

Case Management Standards of Care for Ryan White Act-Funded Services in Orange County - Adobe Acrobat version

Common Standards of Care for Ryan White Act-Funded Services in Orange County
(ADA Compliant, 172k PDF document)

Common Standards of Care for Ryan White Act-Funded Services in Orange County - Adobe Acrobat version

Medical Transportation Standards of Care for Ryan White Act-Funded Services in Orange County
(ADA Compliant, 186k PDF document)

Medical Transportation Standards of Care for Ryan White Act-Funded Services in Orange County - Adobe Acrobat version

Mental Health Standards of Care for Ryan White Act-Funded Services in Orange County
(ADA Compliant, 271k PDF document)

Mental Health Standards of Care for Ryan White Act-Funded Services in Orange County - Adobe Acrobat version

HIV Services Quarterly Narrative Report Template