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If you are a woman age 12 to 25 and you live in Sacramento County, you can get a FREE home test kit for chlamydia and gonorrhea.

Just fill out the form below to get a test kit sent to you. It will arrive in a plain white envelope in 3 to 5 days. Take the test and mail it back in the pre-paid envelope. Then pick up your results at this website or by phone in one week. The kit and the test are FREE - including postage!

This test is for women who don't have any signs or symptoms of an STD. Most women with chlamydia or gonorrhea have no signs or symptoms and don't know they are infected. If you are having signs or symptoms of an STD, DO NOT ORDER THE KIT, instead go to a doctor or clinic right away to get checked.

Step 1

Email

Confirm Email

Zip code (of the address where the kit will be sent)

Gender
Female
Male
Female-to-Male Transgender
Male-to-Female Transgender

 
Yes

Birthday

Are You Pregnant?
Yes
No

Do you have symptoms of an infection? Click here to find out
Yes
No

Step 2

Required*

First Name*

Middle Name
Last Name*

Mail To Name
If you would like a different name to appear on your kit envelope, enter that here.
Mailing Address*

City*

Cell Phone

Other Phone

Ethnic Origin
White
Black or African American
Hispanic/Latino
Native American or Alaska Native
Asian or Asian American
Native Hawaiian or Pacific Islander
Unknown
Other
Ethnic Origin Other
How would you like to be notified when your results are ready?*
Email
Text Message
Text Message & Email
Don't want to be notified

Please tell us how you heard about the kit?
Bus ad
Movie theater ad
Sticker on a mirror or window
Through my school or school nurse
Family or friend
Billboard
Online Ad
Poster
Store display
Info card or flyer
Through a local community organization
Community Event
Other
How did you hear about the event?
Please Specify
May we use the email or phone number you provided to send you a short survey at a later date?
 Yes 
 No 

Your password must contain at least 8 characters, including at least one capital letter, one lower case letter, and one number.
Password*

Confirm Password*

When you log in for your test results, you will be asked for your email address and password. Remember your password—write it down and put it somewhere safe like your wallet if you think there is any chance you'll forget it. Your privacy is very important to us.

Security Question*
Security Answer*

Privacy Policy

Sacramento County Public Health is committed to protecting the privacy of the users of this Web site. We will only use your personal and health information to respond to you, to provide you with your test results and other requested information, or to assist with treatment. Our use and disclosure of an individual's personal information (including health information) is limited as required by state and federal law. This includes disease reporting requirements. We do not sell, rent or give personal information about individuals who use the site.

This Web site has security measures in place to help protect against the loss, misuse, or alteration of information under our control. These measures include encryption of data using the Secure Socket Layer (SSL) system. Despite these measures, the confidentiality of any communication or material transmitted to us via this site by Internet cannot be guaranteed.

If you have any questions or comments about the information presented in this Privacy Policy, you can contact (916) 875-KNOW (5669).

Last Revised: August 7, 2012

I agree to the privacy policy*
 

Thank You