Counseling, testing, and linkage (CTL) Coordinator Resources |
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This following web page is intended for Training Coordinators at agencies providing HIV counseling and
testing services in San Francisco. Please contact Matt Jennings at
(415) 554-9039 or at matt.jennings@sfdph.org if you have any quesitons or feedback regarding information on this page.
Topics on this page:
- CTL Coordinator Meetings
- Counselor Training
- DPH Contact Information for CTL Issues
- Lab Slip and SFCIF Training
- CTL Forms
- Referrals to Medical Care for HIV-Positive Clients
- CTL Protocols, Procedures and Continuous Quality
Improvement Plan Templates
CTL Coordinator Meetings
CTL Coordinator Meetings are held on the second Friday of every other month at
25 Van Ness Avenue, Room 330A, unless specified otherwise, below. Often, new procedures, information, and materials are provided at these meetings, so attendance is mandatory for all CTL Coordinators.
2008 Meeting Schedule
January 11March 14May 9- July 11
- September 12
- November 14
Counselor Training
Counselor, Test Reader, and RTA Technician training details, schedule, and certification status are provided on the Training section of this website. Please contact Matt Jennings, San Francisco CTL Training Coordinator, with any questions at matt.jennings@sfdph.org.
CTL Coordinators may view upcoming training courses offered, view individual counselors' training histories, and register counselors for upcoming training at the AHP Counselor Training website at:
DPH Contact Information for CTL Issues
The following Department of Public Health employees are available to help you with questions regarding HIV counseling, testing, and linkages within the City of San Francisco.
| Topic | Contact |
| Questions regarding technical assistance for your agency, contact your assigned TA Lead | Technical Assitance Leads |
| CTL Data Confidential Fax Line (Please include fax cover sheet) |
(415) 934-4868 |
| Reporting Confidential Case Reports to the SFDPH HIV/AIDS Surveillance Section | Viva Delgado (415) 554-9050 |
| Questions regarding counselor IDs, counselor training and certification, or to activate or inactivate counselors. Counseling and testing client-level data, QA, or other paperwork, and to respond to data re-submission requests |
Matt Jennings (415) 554-9039 |
| Testing supplies and test kits, including requests for blank counseling and testing forms | Alice Heimsoth 415-554-9033 |
| Rapid Test Algorithm (RTA) research study questions and information | Thomas Knoble 415-703-7279 |
| PalmIT data questions or related program issues | Noah Carraher 703-7274 |
| Linkage into care for newly diagnosed clients | Not filled at this time. Your TA Lead can assist you in the interim. |
| Requests for San Francisco CTL Network counseling, testing, and linkage summary-level testing data or reports | Shelley Facente (415) 554-9136 |
| Questions regarding Hepatitis C testing or paperwork Questions regarding HIV testing and other prevention services within San Francisco drug and alcohol programs |
Emalie Huriaux (415) 437-4694 |
Lab Slip and SFCIF Training
CTL Forms
CTL Data Forms
- San Francisco Counselor Information Form (SFCIF)
Front of form
Back of form
- San Francisco Counselor Information Form for Medical Sites (Med-SFCIF)
Front of form
Back of form
- External Quality Control Log
- Rapid Testing Monthly Summary Sheet (RTA Sites excluding Magnet)
- Rapid Testing Monthly Summary Sheet (Non-RTA Sites excluding AHP and City Clinic)
- Rapid Testing Monthly Summary Sheet (AHP, City Clinic, and Magnet only)
- Standard Testing Monthly Summary Sheet (all sites excluding City Clinic)
- Standard Testing Monthly Summary Sheet (City Clinic only)
Policies and Procedures
- CTL Paperwork Due Dates
- CTL Policy Regarding Past Due Data
- CTL Data Quality Assurance Guidelines
- Protocol for Confirming Results Following a Preliminary Positive Rapid Test (re HIV-2)
- Protocol for Transport of Confirmatory Blood Specimens (Presumptive Positive Samples)
Positive Test Forms and Resources
- HIV Confidential Case Report
- Partner Information Form (aka anonymous third-party notification elicitation form)
This is a triplicate form, so we are unable to place on our website for download. Please contact Alice Heimsoth at alice.heimsoth@sfdph.org to order copies. - Partner Information Form Guide
OraQuick Rapid Testing Materials
- OraQuick CAT and Instructions
- Interim San Francisco Algorithm for Oral Rapid HIV Testing
- The Oral Rapid Test: Frequently Asked Questions for Counselors
- Suggested Scripts for Client Contact Following an Invalid Rapid Test
- Detailed Steps for OraQuick Advance Test Procedure Using Oral Fluid
- OraQuick Oral Specimen Collection Dos and Don’ts
- Rapid Testing Program Implementation Checklist
- Rapid Testing Time Chart
- Memo to CTL Coordinators Regarding the Release of OraQuick Advance Rapid Test
RTA (Rapid Test Algorithm) Study Forms and Materials
- Storage Control Temperature Log (for Stat-Pak, Uni-Gold, & OPENED xSera Controls)
- Storage Control Temperature Log (for UNOPENED xSera Controls [Refrigerator])
- RTA CAT for Stat-Pak test
- RTA CAT for Uni-Gold test
Micellaneous Forms
- Request for Data Reports
- HIV CTL Counselor Evaluation Form
- Additional Information Form for collecting info needed for Case Report
Referrals to Medical Care for HIV-Positive Clients
- Referrals to medical care for uninsured San Franciscans
- Referrals to medical care for insured San Franciscans (HMO/PPO/Medicare)
- Referrals to medical care for the East Bay
CTL Protocols, Procedures, and Continuous Quality
Improvement Plan Templates
Resources for agencies without existing protocols
Resources for current network agencies with existing protocols
