It’s important to know your HIV status. At-home test kits can let you know your status from the comfort of your home.

Please watch the instructional video and complete the order form. Your information will remain confidential. A Public Health Nurse will mail your kit and provide support. If you have questions about this form, please contact MCHD at 330-723-9688, option 2. Ask to speak with a Public Health Nurse about HIV testing.

Steps:
1) Watch the training video
2) Complete the order form
3) Submit the form

MCHD will process your order in 2-3 business days of completing this form. You have 2 options to receive your kit:
1. Lobby pick-up (M-F: 8:30 AM – 4:00 PM). Kit will be packaged in a discreet envelope. Note: after 7 business days the kit will be returned to inventory.
2. Mail order (Allow an additional 3-5 business days for mailing service)

A copy of MCHD’s privacy statement is available upon request. This program is funded by a grant through the Ohio Department of Health
Medina County Health Department HIPAA Policy

The video below is the type of test you can expect, as well as how to use it and next steps.