a special project of the
      University of Mississippi Medical Center's
HIV/AIDS Program

   The Mississippi HIV Network exists to provide continuous quality health care for persons from a diverse population with HIV/AIDS.  State of the art treatment is provided in a confidential, nurturing environment.  This is accomplished through a statewide network of health care professionals providing expert clinical consultation regardless of geographical boundaries.  This collaborative effort is linked via a security enhanced dial-up network, allowing the immediate exchange of information necessary to ensure quality care of the patient.  Providers of this network foster the premise that each person with HIV disease should be empowered with the right to seek the optimum health and social outcome in a manner which recognized his/her dignity, worth, and human rights.  

• About the shared forms listed below:
   You will need Adobe Acrobat to open these files. If you do not have Acrobat and would like to download it now, click here to go to Adobe's site to download & install it. If you DO have Adobe and you click on the file and it won't open, your Internet Explorer settings are probably the problem.  You can right click on the link for the file, then select "Save target as", and save it on your hard drive, then open Adobe Acrobat from your program files, then browse to the file where you saved it and most likely you can open it using this method. 

• Network Participants      
          Map of HIV Referral Network Care Sites  (in Adobe Acrobat format) -- updated to 2007 totals
          Steering Committee  (2004-05) (.pdf file)     
          Statewide Network Case Managers
  Other useful contacts info
        MS Department of Health's District HIV Social Workers/Case Managers contact list
        MDOC map of current offender housing facilities (2006)
        Community Corrections Staff Directory (April, 2008)
        MS Mental Health Case Management Supervisors Directory
   

•  Forms for the Referral Program:
    Print and use forms in Adobe Acrobat  (consent, intake, screenings tools, etc.)

  Ryan White Program:  Forms &  Support Information
                RW-Factors Intake Form (Updated October, 2005)
                RW-Factors Ongoing Form, page 1 (rev. Aug, 07); RW Ongoing Form, page 2 (rev. Aug, 06)
                RW-Factors Outreach Tracking Form (revised 09/2005); Outreach Tracking Training Handout (revised 10./05)
                Report Request Form
                Percent of Poverty 2008
                Percent of Poverty 2007
                Percent of Poverty  2006
                Percent of Poverty calculations table, 2005
                Percent of Poverty calculations table, 2004

• Referral Program:  MDOC Post Release Follow Up, Map of MDOC regions & facilities with request for follow-up form (.pdf format, Adobe Acrobat required)