The parent/guardian or the child (if the
child sought testing without parent/guardian consent) must consent to the release of any
HIV information if the child is:
· in voluntary placement
· a committed delinquent, or
· a child from a Family With Service Needs (FWSN)
Form DCF-2134, "HIV Authorization For Release Of Information"
shall be used to seek and/or release needed information.
Note: As noted on the form DCF-2134, if the form has
not been signed by the patient, the signers name, relationship to the patient and,
if necessary, the reason why the patient did not sign the form, must be noted. The
statement should demonstrate that the signer is authorized to consent to the release of
confidential medical information. |