Thank you for your interest in the home-based HIV test.

After entering your contact details, you will get a unique code into the system, where you will complete a detailed pre-test questionnaire. Based on the questionnaire, the consultant will evaluate whether you will receive a free home-based HIV test worth CZK 660. The contact details are needed to send the HIV test. They will not be archived.

You hereby agree with processing of your contact details for the home-based test. Your information will only be kept under the assigned code in the system.