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In Home HIV Test Kit Eligibility Form 
Please complete the form and the NIAC program administrator will contact you with more information.


*Only Idaho State residents will be considered for mail-out tests.
*This form is private and confidential and only the administrator of this program can access it. 

 

Thanks for submitting!

HIV Self-Test

It’s fast and easy. 

 

Just a swab of the mouth and 20-minutes later you have your results. The test can be taken at home or anywhere that is convenient.

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If you get your HIV self-test from North Idaho Alliance of Care (NIAC) counseling can be provided before and after testing.

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