A form filled out by a health care provider along with each HIV diagnostic test. The HIV diagnostic test requisition form collects information on the age, sex and HIV risk factors of the person getting tested. As of 2018, the HIV test requisition form also collects information on race/ethnicity, country of birth, transgender identity and PrEP status. Note, race/ethnicity and country of birth information has been collected on the Laboratory Enhancement Program (LEP) form since 2009.
The viral load test requisition form collects information on whether the individual is on antiretroviral treatment at the time of testing and most recent CD4 cell count.