HEALING with HOPE Corporation

Many STIs show no symptoms. TESTING is the only way to know.     •     Get informed and take action, talk to a healthcare provider about symptoms, testing, and treatment options today.     •     Many STIs show no symptoms. TESTING is the only way to know.     •     Many STIs show no symptoms. TESTING is the only way to know.     •     Get informed and take action, talk to a healthcare provider about symptoms, testing, and treatment options today.

Know the Signs. Get Tested. Get Treated.

Learn about common sexually transmitted infections (STIs), how they are tested, symptoms to watch for, and available treatment options.

HIV

Test

Symptoms

Treatment

Consult a qualified healthcare provider for guidance on symptoms, testing, and treatment options.

Chlamydia

Test

Symptoms

Treatment

Consult a qualified healthcare provider for guidance on symptoms, testing, and treatment options.

Gonorrhea

Test

Symptoms

Treatment

Consult a qualified healthcare provider for guidance on symptoms, testing, and treatment options.

Syphilis

Test

Symptoms

Treatment

Consult a qualified healthcare provider for guidance on symptoms, testing, and treatment options.

Ready to Get Tested?

Testing is quick, confidential, and available through our trusted partners. The next step is to complete the form below. 

PATIENT DETAILS

Confidential Information (Deleted Within 72 Hours after test is completed)

DEMOGRAPHIC INFORMATION

(Kept for Program Reporting)

FINAL STEPS

DISCLOSURE & CONSENT TO TESTING
1. Disclosure & Consent for Testing Referral
a. By completing this form, you acknowledge and agree to be referred for HIV and/or sexually transmitted infection (STI) testing services through Healing With Hope Corp. and its partner providers.
b. Participation in testing services is completely voluntary, and you may withdraw your consent at any time.

2. Withdrawal & Data Policy
a. If you choose to withdraw your consent:
i. Your confidential information will be deleted within 24 hours
ii. Demographic information may be retained for program reporting and evaluation purposes
b. If you proceed with testing:
i. Your confidential information will be securely deleted within 72 hours after the completion of your test
ii. Demographic information will be retained for reporting and funding requirements

3. Privacy & Cost Transparency
a. Healing With Hope Corp. is committed to protecting your privacy. Information collected is handled with care and used only to support your access to services.
b. Testing services are typically free and confidential through our programs and partners.

4. Partner Facility Notice (Important)
a. Please note:
i. If you receive a positive test result, the healthcare provider or partner facility may require identification and/or insurance information to support treatment services
ii. If you do not have insurance, you may still receive treatment; however, you may receive a bill
iii. You may also have the option to request a financial assistance program or waiver directly through the provider

5. Agency Policy Disclaimer
a. Healing With Hope Corp. provides referrals and support services.
Policies and procedures may vary by partner agency or healthcare provider.
We encourage you to review and confirm policies directly with the service provider at the time of your visit.
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