Williamsport: 570-322-8448 or State College: 814-272-0818 info@aidsresource.com
Home-Based HIV Test Giveaway Questionnaire
Welcome! Please answer the following questions to see if you are eligible for a free home-based HIV test. All information collected will be kept confidential. If you have any questions, please email AIDS Resource at info@atestisbest.com or call our Williamsport office at 570-322-8448 or our State College office at 814-272-0818.
By providing your full name, you give consent to have a free HIV self-testing kit with educational materials mailed to you and that the HIV self-test is for your exclusive use. You agree to hold harmless AIDS Resource, including its staff, directors, and agents, from any and all liability that may arise from self-testing.
To receive a free HIV self-testing kit, please provide your telephone number so a testing counselor can contact you with further instructions.