Home HIV Self-Test Kits

The Simplitude™ ByMe™ rapid diagnostic test enables you to accurately test yourself for HIV at your convenience.

It’s quick and easy to use, with results appearing in just 15 minutes.

If you are aged 16+ and live, work or receive education within the Dudley Borough, you can contact us to request a free home HIV self-test kit.

To request a free home HIV self-test kit, please complete the form below or call 01384 885488.

Name

First Name

Last Name

Date of Birth

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Country of Birth

Ethnicity

Gender

Sexuality

HIV Testing History

Mobile Contact Number

Would you like a member of our team to support you through the test?

Please select the type of appointment you would like

Would you like us to send you condoms and lube with your test kit?

Where did you hear about us?

Would you like a 3-month test reminder?

It's advised to get tested after every new sexual partner