This form is an opportunity to provide comments or feedback on issues that impact people living with HIV.

Generally speaking, this is a place to voice general concerns that impact how services are provided. Any issues or barriers that are being experienced from a specific agency should be addressed through proper channels at that agency. Feel free to complete this form if you if you have additional concerns.

You may request for follow-up or remain anonymous. Please make sure to hit the "submit" button at the end of the form.

Thank you for your active participation!