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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
*
January 21, 2020 - INSTI - 10:00 AM
January 22, 2020 - OraQuick HIV - 10:00 AM
January 22, 2020 - Sure Check - 2:00 PM
April 21, 2020 - INSTI - 10:00 AM
April 22, 2020 - OraQuick HIV - 10:00 AM
April 22, 2020 - Sure Check - 2:00 PM
July 22, 2020 - OraQuick HIV - 10:00 AM
July 22, 2020 - Sure Check - 2:00 PM
July 23, 2020 - INSTI - 10:00 AM
November 18, 2020 - OraQuick - 10:00 AM
November 18, 2020 - Sure Check - 2:00 PM
November 19, 2020 - INSTI - 10:00 AM
TESTING SITE INFORMATION
Name of Agency:
*
Site Number:
PARTICIPANT INFORMATION
Print Name:
*
CTL ID #:
E-Mail Address:
*
Phone Number:
*
Name of participant’s Supervisor
Print Name:
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