Download frequently used the Division of Disease Prevention’s (DDP) customer forms, most forms require Adobe Acrobat to download. 

The customer forms are organized by DDP's programs.

Questions regarding DDP's customer forms?

Please contact the HIV/STD/Viral Hepatitis Hotline at 1-800-533-4148 or hiv-stdhotline@vdh.virginia.gov.

Field Services

• Request Document: New HIV Counseling, Testing, & Referral Form

HIV Care Services

• ADAP Medication Exception Form
• Budget Reallocation Form

HIV Prevention Services

• Budget Reallocation Form
• Virginia HIV Community Planning Group (CPG) Member Application. For more information about CPG membership, see this page.
• Program Evaluation Monitoring System (PEMS) Forms
• Literature Request Form
• Statewide HIV/AIDS and STD Resource and Referral Database
• Statewide HIV/AIDS and STD Resource and Referral Database Form for New Listings
• Virginia Transgender Resource and Referral List
• Virginia Transgender Resource and Referral List Form