HIV/STI Home-Based Self-Collection Specimen Testing Guide
This document provides information on home-based self-collection of samples for HIV/STI testing. It includes details on available products, companies offering these services, and associated costs. It serves as a resource for local public health authorities.
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How do I fill this out?
Follow the instructions provided in this section step by step. Make sure to collect all necessary specimens as described. Send the collected specimens to the designated laboratory for analysis.

How to fill out the HIV/STI Home-Based Self-Collection Specimen Testing Guide?
1
Obtain the appropriate home-based self-collection kit.
2
Collect the necessary specimens following the kit instructions.
3
Ensure all specimens are properly labeled and sealed.
4
Complete any required forms included in the kit.
5
Send the specimens to the designated laboratory for analysis.
Who needs the HIV/STI Home-Based Self-Collection Specimen Testing Guide?
1
Local public health authorities needing to guide constituents on home-based testing.
2
Individuals seeking convenient and confidential HIV/STI testing.
3
Healthcare providers interested in offering remote testing options.
4
Public health researchers monitoring disease trends and testing effectiveness.
5
Organizations providing community health education and resources.
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What are the instructions for submitting this form?
To submit this form, follow these steps: Ensure all personal, specimen, and test information is accurately filled out. Package the specimens securely, following the kit instructions. Include the completed form with the packaged specimens. Send the package to the designated laboratory address provided in the kit. Emails and fax numbers are typically provided within the kit instructions for any questions or follow-up. For further assistance, refer to the customer support provided in the kit instructions.
What are the important dates for this form in 2024 and 2025?
There are no specific important dates for this form in 2024 and 2025.

What is the purpose of this form?
This document serves to inform the public and health authorities about home-based self-collection options for HIV/STI testing. It provides an overview of the different companies offering these services, the types of tests available, and the associated costs. It aims to educate and empower individuals and organizations to take charge of their sexual health conveniently from home.

Tell me about this form and its components and fields line-by-line.

- 1. Specimen Type: Indicates the type of specimen being collected, such as urine, blood, or swab.
- 2. Collection Date: The date on which the specimen was collected.
- 3. Personal Information: Details like name, contact information, and identification number of the individual collecting the specimen.
- 4. Test Selection: Lists the types of tests being requested (e.g., HIV Ag/Ab, Syphilis EIA).
- 5. Laboratory Information: Details of the laboratory where the specimens will be sent for analysis.
What happens if I fail to submit this form?
Failure to submit this form may lead to delays or inability to receive test results. It is crucial to correctly complete and send the form along with the specimens.
- Delayed Results: Submitting the form late or incorrectly can delay the processing and receipt of test results.
- Inaccurate Testing: Incomplete information may result in inaccurate or inconclusive test results.
- Loss of Specimen: Failure to submit the form may lead to the loss or misplacement of the specimen.
How do I know when to use this form?

- 1. Personal Testing: Individuals seeking to test themselves for HIV/STIs privately at home.
- 2. Public Health: Health authorities offering community-based testing programs.
- 3. Research: Researchers conducting studies on the prevalence and trends of HIV/STIs.
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