Please read the following leaflet carefully or we will read it for you. Information
about HIV testing is given in the leaflet. If you accept the information, then please
sign the form below.
We try to prevent HIV/AIDS. HIV/AIDS is spreading all over the world. At present,
there are no effective medicines or vaccine against HIV/AIDS. HIV is transmitted
by following means.
Having sexual intercourse with HIV + person without using condoms.
If HIV + blood is transfused or infected syringes /needles are used for injection.
From HIV + pregnant women to her foetus
Superficial touch, sharing of utensils, insect bites, and kiss will not transmit
the infection. It takes approximately 8-10 years for a person to develop symptoms
after the person gets infected with HIV by above-mentioned methods.
If you agree, l0 cc of blood will be collected from your vein. There may be slight
pain when blood is withdrawn from the vein. Blood will be reconstituted in some
We will take some primary information, past history of diseases & information about
sexuality related to HIV from you.
This information and your report of HIV will be kept confidential. The report will
be available approximately with in 3 weeks.
If you have any queries, don’t hesitate to ask us. We will try to answer your