To receive a test kit, complete the form below and click submit, and the Delaware HIV Consortium will contact you to confirm your order and provide you with some brief counseling on how you can reduce your risk of HIV infection. Your kit will then be mailed to you (you should receive it within three to five days), and the Consortium will contact you shortly after that to see how things went.
(Include name, phone, email, street address, city, ZIP code, and comment box.)
About the OraQuick Advance in-home test kit
PLEASE DO NOT SIGN UP FOR ANYONE ELSE, please DO tell your friends about this service. This service is available to Delaware residents only.
Si habla español, su solicitud será enviada al Centro Comunitario Latinoamericano.