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Clinic REGISTRATION FORM

Clinic Days Are Mondays, Wednesdays, & Thursdays, for HIV/STI Testing & Treatment, (12pm-6pm)
For MPOX (monkeypox) vaccine clinic dates please see previous page.
For questions, please call our clinic between 12pm-6pm at 510-781-2639

Have you tested postive for Covid-19 in the last 14 days?
What is your gender identity?
What is your sexual orientation?
Are you low-income?
Please choose one or more of the following services:

Click here for income guidance

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