hiv letter wv
State of West Virginia
Department of Health
Bureau for Public Health
Office of Laboratory Services
Sherri A. Young, DO, MBA, FAAFP
Cabinet Secretary
Justin Davis
Interim Commissioner
Laboratory Director: 1 1 DO
Dear 1 1,Based on review of your completed HIV testing application and in accordance with the provisions of 64 CSR 64: AIDS-Related Medical Testing and Confidentiality Rule, your laboratory has been approved to perform AIDS-Related testing from 1/1/2024 to 12/31/2024.
Please promptly notify our office of any changes to your laboratory's name, physical address, laboratory director, or contact information via email to DHHROLSHIV@wv.gov.
If you have any questions, please contact Amy Grandstaff at 304-205-8904 or via the email address above.Sincerely,
Dana Stillwagon, MS, MLS(ASCP)cmRegulatory and Compliance SupervisorTraining & Evaluation Section
167 11th Avenue | South Charleston, WV 25303 | 304.205.8904 | 304-746-0658 (fax) | dhhr.wv.gov/ols
As a pet parent, pet owner or pet services company, it is important to register and declare ownership of your pet. This is because you are legally responsible and liable for health, licensing and vaccinations of your pet, as well as their behavior around other pets and humans. Transferring of pet ownership can be informal but it normally requires a document to be filled out stating the terms of the transfer to the new owner. If you are planning to transfer ownership of your pet and looking for a template you can easily download, edit, print or save, then try this free Transfer of Pet Ownership template from JotForm. This template contains the basic information you need for transferring ownership of your pet. Information such as the name of the present owner, the name of the new owner, animal or pet description and terms of the agreement. You can easily edit this information, remove or add more if you need to. It will also allow you to add images or logos for customization.Looking for an Animal Adoption Form? Check out the referred page.
There’s nothing more rewarding than helping a deserving pet find its loving forever home. So why not commemorate the occasion? Our free Pet Adoption Certificate Template is the purr-fect way for pet adoption centers to generate beautiful pet adoption certificates for new pet owners. Simply fill in the pet owner’s name, the pet’s name, and the adoption date, and our Pet Adoption Certificate Template instantly turns submitted information into stunning PDFs. You can easily download the PDFs for your records, or print and frame them for proud pet parents.Whether it’s for a cat, dog, bunny, or reptile, our PDF Editor makes creating a well-groomed template simple. Drag and drop elements to add your adoption center’s logo, update fonts and colors, or even include a photo of the lucky little creature! With our free Pet Adoption Certificate Template, you can automatically generate a paw-some keepsake for each and every pet that’s adopted.If you want to create a pet adoption form, please check out the referred page.
A pet adoption contract is an agreement between a pet adoption center and a pet adopter outlining the terms and conditions of the adoption. With this Pet Adoption Contract Template, your animal shelter can generate contracts for pet adoptions with ease — no messy paperwork required. Just share the contract via email for people to fill out and sign on any device.Feel free to update this Pet Adoption Contract Template with our drag-and-drop builder. Add a logo, choose new fonts or colors, set up signing order automation, add or remove form and signature fields, and more. Create legally binding contracts with ease using this free Pet Adoption Contract Template from Jotform. If you’d like to save time by automating your workflow, do it with Jotform Sign’s powerful e-sign solution.
An Animal Shelter Intake Form Template is a form that is used by the animal shelter for the newly received animals which shows the essential background information about them. This procedure is routinely done for every new intake animal in the shelter.This outstanding Animal Shelter Intake Form Template shows the arrival date, type of intake, details about the animal, information about the owner, health status, past medical history, vaccination record, and an optional donation field. This template is using the Purchase Order tool for the donation. As a replacement, you can use other payment integration like PayPal, Square, Stripe, or Authorize.Net. In the payment integration, you can create a subscription type of payments or donations. This PDF template is also using the File Upload field so that the submitter can upload an image of the animal. Using the PDF Editor, you can change the logo, header details and other elements of the PDF.Looking for Animal Shelter Forms? Pleae check out the referred page.
An animal shelter cage card is placed inside the cage of each animal at an animal shelter or rescue center, for identification purposes. Whether you manage an animal shelter, animal rescue, or veterinary clinic, easily keep track of the animals in your care with our free Animal Shelter Cage Card Template! After you’ve customized the look of the template, simply fill in the attached form with each animal’s details and watch as the information is converted into sleek PDF documents — easy to print or download in seconds. Use the PDFs to help staff keep track of animal vaccines and care instructions, or to introduce visitors to their potential new family members!Customization doesn’t have to be ruff. With Jotform PDF Editor, just drag and drop to get the look you want. Add your shelter’s logo, upload photos of the animals, or rearrange the layout in just a few clicks. You can even link the attached forms to third-party applications, like Google Drive, Airtable, Trello, or Slack, to instantly update your other accounts with new animal information. The days of writing out cage cards by hand are over — use this free, online Animal Shelter Cage Card Template to save time and more efficiently keep track of the animals in your care.
A Pet Adoption Letter Template is most often used by pet rescue centers to create a standardized procedure of adopting their pets out to interested individuals. By embedding this adoption letter in your website, future pet parents can fill it out and express their interest in adopting specific pets at your center. Have your adopters include their contact information, letter of intent, character reference contact information, and more.Customizing this Pet Adoption Letter Template is fast and fun with Jotform Sign. Use our drag-and-drop form builder to design your letter to reflect your rescue center’s mission. Add more signature fields, upload photos, change fonts and colors, create automated signing orders, and more. Connect your animals with the right pet parent with Jotform Sign.
These templates are suggested forms only. If you're using a form as a contract, or to gather personal (or personal health) info, or for some other purpose with legal implications, we recommend that you do your homework to ensure you are complying with applicable laws and that you consult an attorney before relying on any particular form.
