At this time the new COVID-19 booster vaccine is currently not available. Updates will be provided as soon as the new vaccine arrives.

At this time the new COVID-19 booster vaccine is currently not available. Updates will be provided as soon as the new vaccine arrives.

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HIV/STI Testing Eligibility

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HIV/STI Testing Eligibility

Information gathered in this form is only used to determine your testing appointment, is obtained anonymously, and is not retained.

HIV/STI Testing Eligibility Form

What best describes your gender?(Required)

Male

Female

Transgender

Gender Queer

Non-Binary

What best describes your sexual orientation?(Required)

Straight/Heterosexual

Lesbian

Gay

Bisexual

Pansexual

Other

Do you use or have you EVER (even if once) used injection drugs? Do you have, or have you had, a partner who used/uses injection drugs?(Required)

Yes

No

Have you or a partner ever exchanged sex for drugs, money, housing, or food?(Required)

Yes

No

Have you ever had sex with someone with HIV?(Required)

Yes

No

Have you been treated for a Sexually Transmitted Infection (STI) within the last 3 months?(Required)

Yes

No

Have you been in contact with a person who had a CONFIRMED STI (not a rumor)?(Required)

Yes

No

Are you pregnant?(Required)

Yes

No

Are you currently experiencing any of the following symptoms? Please check all that apply.(Required)

Abnormal discharge

Pain with urination

Abdominal pain

Testicular pain

rashes or sores

None of the above

Required acknowledgement(Required)

By selecting "none of the above" on the last question I am confirming to the best of my knowledge that I do not have STI symptoms or have been in contact with a confirmed STI. If I develop symptoms the day of my appointment, I understand that I will not be treated with medication that day and will need to schedule an appointment with a nurse.

Agree

Disagree

Schedule an HIV/STI testing appointment with one of our skilled nurses. Click the button below.

Book Your HIV/STI Testing Appoinment with CG Public Health

Good News! You are eligible for our eXpress Health Clinic. The eXpress Testing Clinic offers full STI testing without a full clinical examination, with limited staff interaction, and self-collection in 30 minutes or less. Schedule your appointment by clicking here, Book Your eXpress Health Clinic Appointment with CG Public Health

If you prefer, you can still schedule a regular appointment with one of our skilled nurses. Click the button below.

Book Your HIV/STI Testing Appoinment with CG Public Health

We are very sorry but any person who is pregnant at the time of their appointment cannot be tested. Please contact your primary care provider and click here to return to our homepage, Return to the Homepage

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Mason City, IA 50401

(641) 421-9300
Toll-Free: 1 (888) 264-2581
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2570 4th St SW STE 1
Mason City, IA 50401

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