HCV Screening by Patient
Need a decision about Hepatitis C (HCV) in 3-Steps or Less
If your risk for having HCV is unknown - complete the two questionnaires in Step #1 below.
​- OR -
​If you already have a confirmed diagnosis of HCV by an HCV RNA PCR-quantitative (HCV RNA) test,
then contact HRA by email at (support@HRA.team) or by calling (501.209.8232) if you don't have an email.
*If you call and no one answers, please leave a message, and we will get back to you as soon as possible.
Step #1
​- Complete the two screening forms by using one of the following links or QR code with a computer or a cell phone.
-
Hepatitis C (HCV) Diagnosis and Treatment Questionnaire
-
Risk Factors for Exposure to Hepatitis C (HCV) Questionnaire
​​Links
​​Click on this link - SCREENING FORMS
​​​​Or, copy and paste the following URL -
https://app.formdr.com/practice/Mzk2MTU=/form/UgmlHnYiYp5CT6HInsiCB1N2OY4B9sXJ
- OR -
QR code
QR code
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(If you are not familiar with QR codes - act like you are taking a photo of the QR code with your phone and select the website address when it shows up on your phone's screen.)
​
Not working? Watch the video below for additional instructions.
If the two HCV screening questionnaires indicate that you have no risk of exposure to HCV, then no additional evaluation is needed.
​
If, after completing the two HCV screening questionnaires, the indication is that you are at risk for having been exposed to HCV, then contact HRA to discuss Steps #2 and #3.
Contact HRA by email at (support@HRA.team) -or- by calling (501) 209-8232 if you don't have email.
If you call and no one answers, please leave a message. We will contact you as soon as possible to discuss what we can do to help you confirm if you have HCV and if you are eligible to be treated.