Testing Appointments for HIM... ONLINE!

Fill out the following form to set up an appointment with HIM Program staff, sections in dark blue indicate required information.

The HIM Program of the Red Door Clinic

First Name
Last Name
Birthdate
 / /
Email
Phone
 
Appointment Type

Testing Options
(Select all that apply)

Rapid HIV test (results in 20 minutes)
Syphilis test (results in one week)
Hepatitis vaccination
Full STD exam (Gonorrhea, Chlamydia, Herpes, Genital Warts; results in one week)
 
Click here if you are currently experiencing any symptoms that might indicate an infection.
Days Available
Monday (8am - 6pm)
Tuesday (8 - 4pm)
Wednesday (8 - 6pm)
Thursday (8 - 4pm)
Friday (8 - 4pm)
Preferred Times

12pm - 2:00pm
4pm - 6pm (Mondays & Wednesday only)

Notes for Counselor

 

 

Send your Appointment Request. HIM Program staff will respond within 2 business days.