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DCHD STI/HIV At-Home Test Request       (Solicitud de Prueba de ITS/VIH del DCHD)
Our QR code to the At Home Testing Request form has been changed. 
Please scan the QR code below to be directed to the new homepage and request a kit. You can also visit this link:  https://unmcredcap.unmc.edu/redcap/surveys/?s=TJ3FP7CCLJRJ4PX7 

We apologize for any inconveniences.
If you are experiencing any symptoms, skip the survey and call our clinic to schedule an appointment 402-444-7112,  or talk to your doctor. 

(Si al momento de llenar esta solicitud usted está teniendo síntomas, no la complete y llame a nuestra clínica para hacer una cita al 402-444-7112, o consulte con su médico)
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