![](https://www.pdfsearch.io/img/87311721c409b1af9f9f73519d8b1fbc.jpg) Date: 2016-09-06 11:08:31
| | ADULT HIV/AIDS CASE REPORT FORM (Patients ≥ 13 Years of Age at Time of Diagnosis) Date Form Received: I. Health Department/Reporting Facility Use (Record All Dates as mm/dd/yyyy)Add to Reading ListSource URL: publichealth.lacounty.govDownload Document from Source Website File Size: 1,41 MBShare Document on Facebook
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