In-Home HIV Test Request Form
Fill out the form below to coordinate an In-Home HIV test delivery with PFY staff!
In-Home HIV test delivery is only available for residents living in Queens, Nassau or Suffolk county.
Thanks for requesting an at home HIV test delivery!
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By providing a telephone number and submitting this form you are consenting to be contacted by SMS text message. Message & data rates may apply. You can reply STOP to opt-out of further messaging.