STI Tests and HIV Test Kits Have you had contact with an individual that has tested positive for COVID-19 or Monkeypox in the last 10 days? Yes No Are you currently experiencing any of the following symptoms (check all that apply): Fever Headache Dry Cough Muscle Aches Swollen Lymph Nodes Chills Exhaustion Respiratory Symptoms A Rash that looks like pimples or blisters A loss of taste or smell Sore Throat Name Pronouns Full AddressE-Mail Phone Call or TextCallTextBest Time to Call or Text You Special Request or Comment I am interested inSTI & HIV testingRapid HIV/HCV TestingHome HIV Test KitCondomsPrEP HIV Prevention Information/NavigationWould you like condoms to be sent with your HIV test kit? Yes No What condoms would you prefer? Trojan Magnums Lifestyles NuVo Atlas Atlas Studded One One Pleasure Dome One Classic Select Latex Free Condoms Internal/Female Condoms Lube Dental Dams Δ
