Sexualhealth@nnph.org
775-328-6147
Full Name
Mailing Address
Age Range
Race/ethnicity
Sex at Birth
Current Gender
Who do you have sex with
Have you ever injected drugs?
HIV Status
If you are HIV negative, would you be interested in a medication to prevent HIV (PrEP)?
How would you prefer to be contacted if we have questions about your request?
How did you hear about this program?
The majority of condoms provided by WCHD are the ONE brand. Descriptions are available at: https://www.onecondoms.com/collections/condoms. Please note we offer a selection of these condom options that are listed below.
Which safer sex items would you like to try out?
Type(s) of Condom
Extras