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DHHS → MeCDC → Disease Surveillance → HIV, STD, and Viral Hepatitis Program → Order Form

Order Form

Thumbnail	Title	Add	Quantity
	Female Condoms (Insertive) - Organizations Only The program has a variety of female condoms (insertive) available. The availability of types and brands are dependent on funding, market availability, and State of Maine Procurement Guidelines. Please indicate the number of female condoms you would like to receive. These are only available for organizations and not for individuals.		(Max of 50) Language:
	Guide to Taking a Sexual History This guide was created to help providers determine the STD risk among their patients. The impact of STDs on a patient's health can range from irritating to life threatening. Sexual health can greatly impact overall quality of life.	Order Guide to Taking a Sexual History	View/download PDF Language:
	HIV FACTS This brochure includes information on what HIV is, the different ways that HIV can be passed, risk assessment, HIV tests, what test results mean, and steps you can take to prevent HIV.	Order HIV FACTS	Language:
	Is PrEP for you? PrEP is the medicine that you can take to prevent getting HIV. This brochure includes information on what PrEP is, if PrEP is right for you, how to get PrEP, side effects of the medication, and frequently asked questions.	Order Is PrEP for you?	Language:
	Lubricant - Organizations Only The program has a variety of lubricant available. The availability of brands are dependent on funding, market availability, and State of Maine Procurement Guidelines. Please indicate the amount of lubricant you would like to receive. Lubricant is available for organizations only and not for individuals.	Order Lubricant - Organizations Only	(Max of unlimited) Language:
	Male Condoms - Organizations Only The program has a variety of male condoms available. The availability of types and brands are dependent on funding, market availability, and State of Maine Procurement Guidelines. Please indicate the number of condoms you would like to receive. These are available for organizations only and are not available for individuals.	Order Male Condoms - Organizations Only	(Max of unlimited) Language:
	Oral Dams (Dental Dams) - Organizations Only The program has a variety of oral dams available. The availability of types and brands are dependent on funding, market availability, and State of Maine Procurement Guidelines. Please indicate the number of oral dams you would like to receive. These are available for organizations only and are not available for individuals.		Language:
	PrEP brochure A brochure describing PrEP (Pre-Exposure Prophylaxis), a daily medication that can reduce someone's chances of getting HIV.	Order PrEP brochure	View/download PDF Language:
	STD FACTS This brochure includes information on 8 of the common sexually transmitted diseases. This also includes information on what STDs are, what to watch for, and how to protect yourself.	Order STD FACTS	Language:
	Syphilis Pocket Guide Syphilis pocket treatment guide for providers.	Order Syphilis Pocket Guide	View/download PDF Language:
	Testing Recommendations (Patient Brochure) Informs patients about the basics about HIV, and recommends when testing is appropriate.		View/download PDF Language:
	Testing Recommendations (Provider Brochure) Gives providers recommendations on when to offer HIV testing to their patients		View/download PDF Language:

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