Boulder County AIDS Project (BCAP) HIV/Hep C/STI Testing Program
Please leave your name, a reliable phone number, and email address that you check regularly. A BCAP Prevention Staff Member will be in contact with you within 1-2 business days to discuss our free HIV/Hep C/STI testing program. Please note, BCAP testing is conducted at our Boulder office location at 2118 14th Street, Boulder, Colorado 80302.
Sign in to Google to save your progress. Learn more
Name *
Preferred Pronouns
Reliable Phone Number *
If we need to leave a voicemail, can we say we are calling from BCAP?  *
Can we text this number?
Clear selection
Have you ever heard of PrEP (Pre-Exposure Prophylaxis)?
Clear selection
Are you currently take PrEP?
Clear selection
Would you like more information on PrEP or how to start PrEP?
Clear selection
Someone will call you back within 1 business day for a 15-20 minute conversation. What time of day works best for us to call you? *
Required
Email *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy