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HIV & STI Reporting


To report a HIV case, please download and complete the appropriate form:

Adult HIV Confidential Case Report Form – 13 years of age or older

Pediatric HIV Confidential Case Report Form

Fax the form to 216.676.1321



To report syphilis, chlamydia or gonorrhea, please download and complete this form:

Ohio Confidential Reportable Disease Form for STIs

To report HIV/AIDS, please download and use this form:


Fax the form to 216.676.1321



CDC Guidance for PrEP During COVID-19

Updated STI Treatment Guidelines 4.6.20


Referral form for CCBH Clinic


CTR (Counseling, Testing and Referral) HIV Testing

ODH CTR Priority Based Testing Protocol 2020

Risk Assessment Form

Risk Reduction Form

Risk Assessment Score Sheet



CCBH has been funded from the Ohio Department of Health (ODH) for fiscal year 2020 (2/01/20 – 12/31/20) in order to implement an HIV and STI prevention program for Region 3 which consists of Ashtabula, Cuyahoga, Geauga, Lake, Lorain, and Medina Counties.

HIV and STI prevention services will be provided to priority populations, which are determined by the HIV/STI epidemiology, along with CDC guidelines.

For HIV, priority populations will include men who have sex with men (MSM), Black Non-Hispanic and Hispanic/Latino MSM, and Youth (ages 13-24).

For syphilis, the priority populations will mirror that of HIV, with an additional focus on preventing congenital cases.

For chlamydia and gonorrhea, priority populations will include women of childbearing age, MSM, and youth & adolescents.

Specific services that will be provided with the grant funding will include:

  • HIV Counseling, Testing, and Referral (CTR) services with a goal of maintaining a one percent (1%) HIV positivity rate, at a minimum, throughout the grant year.
  • Comprehensive disease intervention activities to ensure newly diagnosed HIV and Syphilis clients will be linked to care within 45 days of diagnosis. These services will be provided by Communicable Disease Investigators (aka DIS) working with the Early Intervention Services component of the Ryan White Part A grant program.


The agencies currently funded to provide CTR services in Region 3 are:

AIDS Taskforce of Greater Cleveland

Care Alliance

Circle Health Services

Cleveland Treatment Center

Lorain County Public Health

Medina County Health Department

Signature Health Inc.



Social marketing and community engagement efforts will be strategically implemented throughout Region 3 with the intent of reaching designated priority populations.

Love Leads Here in Cuyahoga County! This multi-platform social marketing campaign will focus on promoting the use of PrEP and the importance of being U=U on Facebook, Instagram, Snapchat, Dating Apps, Adult Sites & Local Convenience Stores.

A Molecular Cluster Response Plan will be established in Region 3 to ensure that a strategic and effective response plan is in place in case of a molecular cluster outbreak within the region. With a coordinated plan, Region 3 will be able to contain potential HIV and STI outbreaks in an effort to prevent health risks to the community.

CCBH will identify community partners across the region to deliver HIV and STI prevention services.



CDC’s Let’s Stop HIV Together Campaign

Ending the HIV Epidemic in Cuyahoga County 

Find PrEP Resources Locally

HIV Prevention/CTR Testing Site Orientation Presentation March 26, 2020

HIV Testing at CCBH

Love Leads Here! Social Media Campaign Tool Kit

Ohio Department of Health HIV Prevention Program

Ohio HIV/STI Hotline

Presentation from PrEP Navigators at Jan 11, 2021 Combined Meeting

Slides from Combined January 11. 2021 Meeting


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