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HIV Outreach Education/Testing Information and Request   

Thank you for your interest in Hamilton County Health Department HIV Education and Prevention.  Here is some information you will need about our programs, as well as a request form so we can better coordinate the services you desire.

Our HIV Education programs require a minimum of 30 minutes and can last a maximum of about two hours.  The content of HIV Education programs includes, but is not limited to: what HIV and AIDS stand for and the difference between the two; how HIV is and is not contracted; how people can protect themselves from contracting HIV (both abstinence and condoms are discussed); and where testing is available.  Participants are encouraged to ask questions both during and after the programs.  In addition to HIV Education, we can also provide free, confidential (not anonymous) HIV testing onsite.  HIV Testing includes pretest counseling, the HIV blood test, and the individual’s option of calling our department to receive their results by telephone.  We can also provide literature on HIV prevention, testing and statistics if requested. 

Because we discuss sexuality in a very frank manner in HIV Education, our programs are most appropriate for audiences over the age of 13.  If your audience will include minors of any age, we suggest that notice be given by your agency to parents that their children will receive HIV education.  If you have a large group of minors (more than 20), we request a responsible adult from your agency be present for supervision.  

We gear our programs so they are flexible and appropriate for a wide variety of groups.  However, if your group or agency has particular needs, please feel free to call and we can discuss how to best accommodate their needs. 

To receive HIV Educational programming for your group, please fill out the following and fax to 423/209-8288.  One of our team members will fax back with their signature to confirm the appointment.  Please call 423/209-8272 with any questions you have for an HIV Outreach Staff member.  Thank you again for your interest in our services. 

NAME OF GROUP/AGENCY: ____________________________________________

 

CONTACT PERSON: ____________________________________________________

 

PHONE NUMBER: ________________________FAX__________________________

 

WHERE EVENT WILL BE HELD: ________________________________________________________

 

NUMBER IN ATTENDANCE: __________________AGE GROUP_______________

 

DATE (S) AND TIME (S) NEEDED: _________________________________________________

 

SERVICES REQUESTED: ___________________________________________

 

SIGNATURE/DATE: _____________________________________________ 

 

HIV OUTREACH SIGNATURE/DATE: ___________________________________

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