RPAG Toolkit Requirements for Consent & Disease Reporting
Laws & Forms
MD Law and HIV Counseling and Testing (PDF)
Important Changes to HIV/AIDS Counseling & Testing Laws (PDF)
DHMH/Maryland AIDS Administration Notice to Providers
Practice Advisory for HIV Testing in Maryland (PDF)
DHMH/Maryland AIDS Administration Best Practices for HIV testing
Important Changes in HIV/AIDS Reporting (PDF)
DHMH/Maryland AIDS Administration Notice to Providers
Frequently Asked Questions - For Providers
Maryland HIV/AIDS Reporting Act of 2007
Maryland Confidential Morbidity Report Form DHMH-1140
Community Health Administration, Epidemiology and Disease Control Program - Disease reporting form.
Maryland HIV Reporting Act 2007 (PDF)
Changes to the DHMH/Maryland AIDS Administration Reporting Act 2007
Notifiable Diseases and Reporting Instructions
View the list of notifiable diseases that Maryland providers are required by law to report, and the reporting instructions.
Disease Reporting in Maryland
The Maryland Confidential Morbidity Report Form (DHMH-1140) (PDF) is available for downloading and reproducing on the Maryland Department of Health and Mental Hygiene’s web site.
If you have any questions, please contact the Maryland Department of Health and Mental Hygiene, Division of Communicable Disease Surveillance, at 410-767-6712, or contact your local health department.
HIV Consent Form
Current Maryland law requires all providers use the Maryland Department of Health and Mental Hygiene-approved consent forms for all patients being tested for HIV.
The AIDS Administration has just launched a new Perinatal HIV consent form, the Perinatal HIV Authorization Form (PDF). It is a streamlined version of the universal counseling and testing informed consent form. The shorter form should reduce the time needed to educate women about HIV and obtain informed consent for testing.
HIV/AIDS Surveillance Contacts
Maryland AIDS Administration Surveillance Contacts
Colin Flynn, ScM
Chief of Surveillance & Epidemiology
Phone: 410-767-5050
Harold Boykin, MPH
Laboratory Reporting Coordinator
Phone: 410-767-5360
Local HIV/AIDS Surveillance Contacts
Baltimore City
Chief: Dr. Madan Mohan
Phone: 410-396-8078
Surveillance Investigators: Yohannes Abaineh, Sharron Briggs,
Michael Evans, Delwar Hossain, Ericka Jackson, Winona Matthews,
Octavia Peterson, Dorothy Sweeney, and Darryl West
Anne Arundel County and Eastern Maryland
Regional Coordinator: Ms. Leigh Carels, MPH
Phone: 410-221-1899
Eastern Region includes: Caroline, Cecil, Dorchester, Kent,
Queen Anne's, Somerset, Talbot, Wicomico, and Worcester counties
Central Maryland
Regional Coordinator: Denise Bannerman-Wood
Phone: 410-767-7682
Region includes: Baltimore, Carroll, Harford, and Howard Counties
Montgomery County & Western Maryland
Regional Coordinator: Dr. Assefa Tigeneh, DVM, MVSc
Phone: 240-777-1846
Western Region includes: Allegany, Frederick, Garrett, and
Washington counties
Surveillance Investigator: Katherine McDowell
Prince Georges County & Southern Maryland
Regional Coordinator: Dr. Bekele Mamo, Sc.D.
Phone: 301-883-7872
Southern Region includes: Calvert, Charles, and St. Mary's counties
Surveillance Investigators: Jason Brown, Gennene Mengistu
Correctional Facilities
Surveillance Coordinator: Dr. Attillio Zarrella, Th.D.
Phone: 410-767-5939
Please call your local contact whenever you have questions about reporting policies and procedures.
Directory listings current as of July 1, 2009.
For more information on the Baltimore Regional Perinatal Advisory Group or the RPAG Toolkit, call 410-887-3725.
Revised January 9, 2012
