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HIV/STI/PrEP Services Request

WILL COUNTY HEALTH DEPARTMENT & COMMUNITY HEALTH CENTER

Interested in getting more information on HIV/STI Testing and treatment or PrEP?

Fill out the form below and someone from our Care Clinic will follow up with you.

Read our HIV/STI Prevention Services brochure.

Read our Care Clinic brochure.

Learn More about our HIV/STI Care Clinic by visiting our webpage.

Name(Required)
Email
Preferred Method of Communication(Required)
Preferred Language(Required)
Date of Birth
(example: HIV or STI testing, PrEP, STI Treatment, HIV+ Services,)
This field is for validation purposes and should be left unchanged.