HIV, STD, and Viral Hepatitis Prevention Resource Request Form

The Maine HIV, STD, and Viral Hepatitis Program offers resource materials to community agencies and partners providing prevention education, testing, or treatment. To request materials please fill out the “Resource Requestor” form below. Once we verify your information, we will send you a password that will allow you to access the available materials. Please note we may limit the quantities requested.

Resource Requestor

You must enter a password to continue. If you do not have a password, check off the I do not have a password checkbox, complete the form and click Continue to request a password.

Please note that due to limited funds and resources, some requested items may not be provided or may be given in limited supply.