Counseling, Testing, and Referral Program
The following policies, procedures and program forms are applicable to all contracted counseling, testing, and referral (CTR) sites receiving reimbursement through the North Dakota Department of Health for HIV testing activities. These policies may or may not be applicable to other agencies involved in HIV testing.
Policies and Procedures
Required Data Entry
1. Comprehensive Counseling Guide - Coming Soon
2. Role Playing Exercise - Coming Soon
3. Counseling Summary - Coming Soon
Counseling Check List
Forms - All Paper Versions of Forms are Optional
Risk Assessment Example
Required Data Submission
Ordering Prevention Supplies
Please allow 1-2 weeks for delivery of prevention materials. Rapid tests will take longer, so allow 3-4 weeks when ordering these. Include your name since multiple orders may be received from your agency. Call 701.328.2376 if you have any questions.
Supplies Order Form
Mail or fax your order to:
2635 E. Main Avenue
Bismarck, ND 58506-5520
Request for Reimbursement
Beginning in January 2014, HIV
counseling, testing and referral sites must submit for contract
reimbursements using the North Dakota Department of Health Program Reporting
System, or PRS. The PRS Reporting System is located at
If you do not have a login to the system, you
will have to request one before access is granted.
Call 701.328.4555 if you have any questions regarding the reimbursement.
Prevention Reimbursement Form
Linkage to Care and Vaccine Reimbursement
||Roles and Responsibilities
||Operations, Procedures &
||Case Management, Data