Std testing in indianapolis in 2025

1. Click ‘Get Form’ to open the STD Testing form in our editor.
2. Begin by entering today’s date at the top of the form. Indicate if you have been here before by checking 'Yes' or 'No'.
3. Fill in your Social Security Number (SS#), first name, middle initial (MI), last name, and date of birth (DOB). Ensure your current age is also noted.
4. Provide your address details including apartment number, city, county, state, and zip code.
5. Select your country of birth from the options provided. Specify your gender by checking the appropriate box.
6. Enter your alternate phone number and indicate if it’s okay to leave a message. Repeat this for home, cell, and work phone numbers.
7. Input your email address and choose your preferred method of contact. Confirm if you would like appointment reminders via phone or email.
8. Complete employment details including place of employment/school and marital status. Select your yearly income range.
9. Indicate your health insurance provider and primary language spoken. Fill out race and ethnicity as applicable.
10. Lastly, provide the reason for your visit and sign at the bottom to confirm that all information is accurate.

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