Outreach and Testing Service Request » Department of Pediatrics » College of Medicine

Request Outreach Education services and/or free rapid HIV/STI testing at your organization’s next health fair or event in Jacksonville. Services can also be offered for events in surrounding counties. Fill out the following form and a UF CARES representative will contact you within three business days.

If you are an individual looking for free HIV testing, please contact us or walk in at your convenience during normal business hours, Monday-Friday 8 a.m. – 4 p.m.

Organization Information

Organization Name(Required)

First Name(Required)

Last Name(Required)

Contact Phone Number(Required)

Contact Email Address(Required)

Event Information

Event Name(Required)

Address(Required)

City(Required)

State(Required)

Zip Code(Required)

Event Start Date(Required)

Event End Date(Required)

Event Set Up Time(Required)

Event Break Down Time(Required)

What Services are being requested?(Required)

HIV/STI Testing

HIV/STI Education

PReP

At-Home Test Kits

Linkage/Re-Engagement to Care

TOPWA

Other

Would you like to request the mobile unit for this event?(Required)

Is this event indoors or outdoors?(Required)

Are table and chairs provided, if applicable?(Required)

Is there a vendor fee, if applicable?(Required)

What is your intended population of focus for this event?(Required)

Estimate number of people attending the event(Required)

Frequency of event:(Required)

Can we share your event on our social media pages?(Required)

CAPTCHA