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HIV-1 Test System
Express (next day) HIV-1 Test
Hepatitis C
FDA Cleared Cholesterol Panel
HEPATITIS C Risk Assessment
Entering your e-mail address, zip code, and birth year are not required, but can help us to better serve you.
E-mail Address:
Zip Code:
Birth Year: (YYYY)
1.
Did you receive a blood transfusion prior to July 1992?
Yes.
No.
I choose not to answer.
2.
Have you donated blood that was not rejected in the past 3 years?
Yes.
No.
I choose not to answer.
3.
Are you a Vietnam Veteran?
Yes.
No.
I choose not to answer.
4.
Have you spent more than a month in jail or prison?
Yes.
No.
I choose not to answer.
5.
Have you ever used cocaine?
Yes.
No.
I choose not to answer.
6.
In your life have you had more than 50 sex partners?
Yes.
No.
I choose not to answer.
7.
Have you ever been punctured or injected by an intravenous needle that was used by another person?
Yes.
No.
I choose not to answer.
8.
In the course of your job, have you had unprotected contact with another person's blood, such as a blood splash or accidental needle stick?
Yes.
No.
I choose not to answer.
Additional Information
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© 2008 All Rights Reserved. Home Access Health | 2401 West Hassell Road | Suite 1510 | Hoffman Estates, IL 60169
800-448-TEST (8378) |
info@HomeAccess.com