Requesting HIV Self-test Kit

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An HIV self-test (or rapid self-test) is an antibody test that can be used at home or in a private location. With an HIV self-test, you can get your test results within 20 minutes.

For more information, visit https://www.cdc.gov/stophivtogether/index.html

To request a self-test kit, please fill out the required information. Enter your name and size to sign up for a T-Shirt. If you have any questions or comments, please call 612-463-6502.

First Name *

Last Name *

Phone number *

Zip code *

What is your shirt size?

Small

Medium

Large

2XL

3XL

4XL

Clear selection

Gender *

Female

Male

Two-spirit

Non-binary

Prefer not to say

# of test kit (note that you can only receive one test kit per month) *

Only 1

Required

Racial Demographic *

White

American Indian/Alaska Native

Black/African American

Asian

Native Hawaiian & Other Pacific Islander

Two or more races

Ethnicity *

Hispanic

Non-hispanic

How would you like to obtain your HIV self-test kit? *

By Mail

Pick-up at Indigenous Peoples Task Force

Required

If you choose mail, please fill out your mailing address. Be sure to include apartment numbers and zip code.

Please let us know if you need a referral for the following:

PrEP prevention

nPEP treatment

STI/STD screening

Housing referral

Medication Assisted Treatment (MAT) services

HIV 101 Workshop (incentivized)

Hepatitis C care linkage

Syringe Service Programs (SSPs)

Narcan Training

Plan B Contraceptive

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