Victims Designation Of Receiver For Childs HIV Or AIDS Test Results {JD-JM-187}

JD-JM-187 - JUVENILE MATTERS VICTIM'S DESIGNATION OF RECEIVER FOR CHILD'S HIV/AIDS TEST RESULTS. This form is used in Connecticut juvenile cases to allow a victim to designate a health care provider or approved HIV counseling and testing site to receive and disclose the results of a court-ordered HIV/AIDS test performed on a child. The form includes the victim’s authorization for the court to release their contact information to the selected provider and explains confidentiality considerations. It also outlines potential costs for disclosure through a health care provider or free services through a state-funded testing site. A withdrawal section allows the victim to revoke consent at any time for future disclosures. C.G.S. §§ 54-102a, 54-102b, 54-102C; P.A. 10-43 § 41-42. www.FormsWorkflow.com