Testing Appointments for HIM... ONLINE!

The HIM Program of the Red Door Clinic

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

First Name
Last Name
Birthdate
 / /
Email
 
Appointment Type

Testing Options
(Select all that apply)

Rapid HIV test (results in 20 minutes)
Syphilis test (results by phone in one week)
Hepatitis vaccination
Full STD exam (Gonorrhea, Chlamydia, Herpes, Genital Warts; results by phone in one week)
 
Click here if you are currently experiencing any symptoms that might indicate an infection.
Days Available
Monday (11 - 6pm)
Tuesday (8 - 4pm)
Wednesday (8 - 4pm)
Thursday (8 - 4pm)
Friday (8 - 4pm)
Preferred Times

4pm - 6pm (Mondays only)

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