STD Express Community of Practice Sign-Up
Complete and submit this form to sign-up for the STD Express Community of Practice. Please note that at this time, only STD clinic and program staff are eligible to participate. An STD clinic or program refers to any clinic that provides STD testing and treatment, such as a health department STD clinic, FQHC, community health center, Ryan White clinic, etc. If you have questions regarding eligibility or anything else regarding the Community of Practice, email Samantha Ritter at sritter@naccho.org. After you submit this form, you will receive an email within a week with next steps.
Name *
Your answer
Credentials *
Your answer
Organization Name *
Your answer
Organization Location (City and State) *
Your answer
Job Title *
Your answer
Email Address *
Your answer
Can we share your contact information with other CoP participants? *
Does your clinic currently operate STD express services (triage-based STD testing without a full clinical examination)? *
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