National HIV & STD Testing Resources | A service of the Centers for Disease Control and Prevention

HIV Testing Day Activity/Event Submission Form
Fields marked with * are mandatory:
Organization Information
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  (Use xxx-xxx-xxxx format.)  

Contact Information
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(Use xxx-xxx-xxxx format.)
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NHTD Event Information
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*

(Use mm/dd/yyyy format.)

*

(Use mm/dd/yyyy format.)


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*

 
 
 
*

 
*

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*

 
Will onsite testing be provided? *


 
If yes, will rapid test be provided?

 
Is testing available at no cost? *

 

 
Languages Spoken
       
 
Do you provide ongoing testing throughout the year?

 

 

Disclaimer: Events submitted will be listed on the Web site at our discretion. We reserve the right to not list events. Please allow at least 3 business days from date of submission for events to be posted.