PREVENTION AT HOME
Free Condoms and HIV Self-Test Kit Request Form
The Georgia Department of Public Health Southwest Health District is offering free condoms and/or HIV self-testing kits to residences of the following counties: Baker, Calhoun, Colquitt, Decatur, Dougherty, Early, Grady, Lee, Miller, Mitchell, Seminole, Terrell, Thomas, and Worth. Recipients must be at least 16 years of age to receive condoms and at least 17 years of age to receive a test kit. To request a free condoms and/or a HIV self-test kit, please fill out the form below.
LIMITATIONS DO APPLY TO THIS PROGRAM
- Prevention supplies will only be sent to people living in the counties listed above.
- Orders are limited to one shipment per person each month.
- Orders will be shipped and filled once per week.
For additional resources visit our website: http://www.southwestgeorgiapublichealth.org/hiv_aids_program/
FOR ADDITIONAL QUESTIONS CALL: (229) 638-6428