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Know The Facts
HIV/AIDS
Sexually Transmitted Diseases (STDs)
PrEP/nPEP
Living With HIV
Statistics
Resources
Get Tested
Get Treated
Condoms
FAQs
Become A Partner
Condom Ordering Form
Condom Locations
Get Free Condoms
Female FC2 Condom
Resources
HIV Prevention
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
Calendar
Rapid HIV Test Training Pre-Registration Form
Rapid HIV Test Training Pre-Registration Form
TRAINING DATE REQUESTED
*
November 13, 2019 - OraQuick HIV - 10 AM
November 13, 2019 - Sure Check - 2 PM
November 14, 2019 - INSTI - 10 AM
TESTING SITE INFORMATION
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*
Site Number:
PARTICIPANT INFORMATION
Print Name:
*
CTL ID #:
E-Mail Address:
*
Phone Number:
*
Name of participant’s Supervisor
Print Name:
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