STD/HIV Resources Registry Entry Form

This page has been automatically translated from English. MSDH has not reviewed this translation and is not responsible for any inaccuracies.

If you provide services to individuals with sexually-transmitted diseases HIV, or offer STD/HIV related resources to professionals, you can join our public STD/HIV Resources registry.

The Mississippi STD/HIV Resource Registry is a public database of organizations and the type of services they offer to STD-affected individuals and those in STD-related professions. Use the form below to make your organization's information available to the public, or to update information you've already sent to the Registry.

For questions about the Registry, contact Kendra.Johnson@msdh.ms.gov

This information is:

ABOUT YOUR ORGANIZATION

Organization Name Description of your organization and the specific services it offers Address Days/Hours of Operation Public Contact

One or more counties where services are available (select "All counties" for statewide services)

TYPE OF SERVICES OFFERED

To help the public search for your services, indicate one or more categories they fall into below. (Location and hours are optional)

1 2 3 4 5

FOR MSDH INFORMATION ONLY

To help us verify or correct your information, please provide the best way to contact you.

Contact Name Phone E-mail Address

Last reviewed on Jul 11, 2019 request edits