1 PERSONAL INFO / NAME
We need this information to process your order.
PROGRESS: 1 of 3 QUESTIONS
2 PERSONAL INFO / MAILING ADDRESS
We need this information to process your order. In the event, Google Maps does not recognize your address, please contact admin@takemehome.org.
PROGRESS: 2 of 3 QUESTIONS
HI THERE

PLEASE CHECK THE BOX TO CONTINUE

I AGREE
By clicking yes, you are submitting an order for a home HIV or STI test kit. You are agreeing that your information will be shared with your state or local health department, which is covering the cost of the HIV test kit. Your local health department must be notified of a positive result, as required by law. They may follow-up with you if you have a positive result to make sure you get treatment. Your information will only be shared with business partners for healthcare operations, payment, and treatment.
PROCESSING