Forms

If you would like to print and complete a couple of the STD Clinic forms ahead of time they are available below. 

For the Demographics form: Please complete IF...

  • You have never been to STD Clinic before;
  • Your information has changed since your last visit;
  • Your last visit was over 6 months ago (if we here less than 6 months ago and nothing has changed, please do not complete)

For the Self Assessment Form: Please complete both sides and bring with you. 

REMINDER: Be sure you have not been on antibiotics for the past two weeks and for females, please be sure you are not on your period if you are seeking Chlamydia and Gonorrhea screening (if you are seeking HIV, Hepatitis C and/or Syphilis testing you may come to clinic for a blood draw or rapid test)."

Related Forms