Have any questions?
305-643-7420
Test.Miami@flhealth.gov
Know The Facts
HIV/AIDS
Living With HIV
Statistics
Resources
TEST & PrEP
TEST & TREAT
HIV TEST & TREAT
STD TEST & TREAT
CONDOMS
FAQs
Become A Partner
Condom Ordering Form
Condom Locations
Get Free Condoms
Female FC2 Condom
Resources
PREVENT
Request Our Services
HIV/AIDS 101 Video
Community Services
National HIV/AIDS Awareness Days
Community Initiatives
Providers Corner
Submit An Event
Counseling, Testing & Linkage (CTL)
Trainings
Private Physicians
CALENDAR
Know The Facts
HIV/AIDS
Living With HIV
Statistics
Resources
TEST & PrEP
TEST & TREAT
HIV TEST & TREAT
STD TEST & TREAT
CONDOMS
FAQs
Become A Partner
Condom Ordering Form
Condom Locations
Get Free Condoms
Female FC2 Condom
Resources
PREVENT
Request Our Services
HIV/AIDS 101 Video
Community Services
National HIV/AIDS Awareness Days
Community Initiatives
Providers Corner
Submit An Event
Counseling, Testing & Linkage (CTL)
Trainings
Private Physicians
CALENDAR
HIVAIDS 501 UPDATE Pre-Registration Form
TESTING SITE INFORMATION (Datos de la institución donde se efectúa la prueba)
Name of Agency (Nombre de la Agencia):
*
Site Number (Código [#] de la Agencia):
PARTICIPANT INFORMATION (Datos del solicitante)
Name (Nombre completo):
*
CTL ID # (Número de Identificación de Consejería, Prueba y Vinculación al Cuidado de Salud):
Email Address (Dirección electrónica):
*
Phone Number (Teléfono):
*
Address (Dirección):
*
City (Ciudad):
*
State (Estado):
*
Non US
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code (Codigo postal):
*
Cancel
Enter ZIP Code to find test
locations & free condoms:
Search