At-Home HIV Testing Request Form
By entering my information here, I am requesting that Legacy Community Health call me regarding in-home HIV testing.
Completing this request does not mean an HIV test kit will automatically be sent. A Legacy Community Health representative will contact you for a more detailed screening call to ensure that this service will best suit your needs.
After the screening call, we will mail the test kit to you. It may take 3-5 days after the screening call before you receive your free kit.