Return to CT.Gov Home
Department of Children and Families
DCF Logo

Policy Manual
HEALTH CARE
Standards Regarding the Delivery of Health Care

44-5-5.2
HIV Testing: Informed Consent

Legal Requirements CONN. GEN. STAT. §19a-582(b) requires that any person having an HIV test, or the person authorized to consent to health care for such person, be provided by the health provider with an explanation of HIV related illness and risk behaviors known to transmit HIV infection before providing informed consent.

CONN. GEN. STAT. 19a-582(e)(10) does not require informed consent (including pre- and post-test counseling) when the test is subsequent to a prior confirmed test and the subsequent test is part of a series of repeated testing for the purpose of medical monitoring and treatment provided

· the individual (or guardian) has previously given informed consent and has been counseled concerning medical treatment and behavioral changes necessary to reduce HIV transmission

· the individual (or guardian), after consultation with the health care provider, has declined reiteration of the specific informed consent, counseling and education

· a notation to that effect has been entered into the individual’s medical record.

Information Required to be Provided The information required to be provided to the person having the HIV test by the health provider or the person authorized to consent to health care shall include an explanation of the:

· test and its purpose

· meaning of the test results

· benefits of early diagnosis and medical intervention

· fact that refusal to consent to such test may, in some circumstances, affect the provider’s ability to diagnose and treat the illness

· procedures to be followed, including that the test is voluntary, and a statement advising the subject on the availability of anonymous testing

· confidentiality protection afforded HIV related information including the circumstances under which, and the classes of persons to whom, disclosure of such information may be required, authorized or permitted by law.

Informed Consent Required of Minor Though a child of sufficient intellectual capacity, maturity and stability may not require parental consent, the child is required to comply with CONN. GEN. STAT. §19a-582 to sign a statement of Informed Consent.
Parent/Guardian Authorization Written informed consent for testing may be given by the parent/guardian as long as they retain parental rights.

Parental consent for testing is required when the child is in care through voluntary placement, delinquency commitment or Family With Service Needs (FWSN) commitment.

The parent’s signature is required on the following forms:

· DCF-2135 "Delegation of Authority for HIV Testing"

· DCF-2134 "HIV Authorization for Release of Information".

Note: If it is not practical for written consent to be obtained prior to testing, informed consent may be provided verbally with a notation of such recorded in the medical section of the Uniform Case Record as soon as possible after talking with the parent or guardian. Subsequently, written consent must be obtained.

Testing Without Parent /Guardian Consent

An HIV test may be performed without parental/guardian consent if:

· requested by a child/youth (of sufficient intellectual capacity, maturity and stability to understand the seriousness of the test) if the minor is consenting to his/her own testing in accordance with the provisions of CONN. GEN. STAT. §19a-582. The minor is required to sign an order of informed consent.

· a physician determines that notification to the parents or guardian will result in testing or treatment being denied or the physician determines the minor will not seek, pursue or continue treatment if the parents or guardian are notified and the minor requests that his parents or guardian not be notified (provisions in CONN. GEN. STAT. §19a-592.)

· ordered by Superior Court (provision in CONN. GEN. STAT. §19a-581 through §19a-590 is extremely restricted).

DCF as Guardian

Authorization for HIV confidential testing shall be given by the regional administrator or designee upon recommendation of the Regional Resource Group nurse using form DCF-2138.

Informed consent may be provided by the Department when it is acting as the child’s/youth’s guardian.

The social worker or supervisor (not the foster parent) shall sign the informed consent form provided by the physician after the regional administrator has given authorization for testing.

Connecticut Department of Children and Families Effective Date: January 2, 1998 (Revised)