Report your HIV or syphilis self-test results using the form on the right.
Please provide the date of your test, the unique ID (if applicable),
and the serial number of your test kit.
Select the type of test and kit,
and indicate the category of test performed.
Report your results for HIV and syphilis, and feel free to add any comments or additional information.
Your contribution helps us gather important data for public health monitoring and intervention strategies.
Thank you for your cooperation in improving healthcare outcomes.