No judgement — just the facts to help you make the best decisions for your sexual health.

Health Information Request

OR FILL OUT THIS FORM AND WE’LL GET BACK TO YOU.

Name *

Phone Number *

SELECT WHAT YOU’D LIKE INFORMATION ON:

HIV Testing

PrEP

HIV Treatment

SELECT WHEN YOU’D LIKE US TO CALL YOU BACK:

9am - 12pm

12pm - 2pm

2pm - 5pm

By clicking this box I acknowledge and permit a person from the Health Information Helpline to return my request for information via the phone number listed above.

If you are human, leave this field blank.

SUBMIT