Prevention
HIV Prevention Reporting and Evaluation
Contact Information
- For information on HIV Prevention Evaluation, please contact:
Hope Cassidy-Stewart
Evaluation Division Chief
Center for Prevention
(410)767-5250
hstewart@dhmh.state.md.us
- For information on Maryland's Prevention Reporting System, please contact:
Cicely Georges
Prevention Reporting System Manager
Center for Prevention
(410)767-0991
cgeorges@dhmh.state.md.us
Prevention Reporting System Forms
Group Level Intervention Form
Individual Level Intervention Form
English Sign-In Sheet
Spanish Sign-In Sheet
Instructions for Ordering Envelopes and Scannable Forms
Prevention Reporting System Web-based Reports
To access your web-based reports, click on the link below and enter
your agency's username and password.