B The Connecticut HIV Resources Guide

Check one:  < ADD this Agency      <CHANGE Current Listing     < DELETE Current Listing

Agency Name

Contact

Street

City

State

Zip

Phone

Ext:

 

FAX

Email

Website

Agency

Description
and additional
services

 

 

5 TOP PROGRAMS AND/OR SERVICES --

Although your agencies may have many services, please list your top 5 strongest areas.  These will determine the search criteria to help consumers locate agencies with the best expertise for their particular needs.  Additional services can be listed in the Description field.

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5

AREAS OF EXPERTISE: Check All That Apply

Children/Adolescents

Bilingual Assistance

Family Counseling

Mass Transit Available

Female Issues

Handicap Accessible

Gay / Lesbian Issues

Drop In Hours/Center

HIV Health Issues

Appointment Preferred

HIV Legal Issues

Volunteer Opportunities

BIA Testing

BGold KeyB

We can help consumers get access to other HIV/AIDS  services – GOLD KEY

IV Drug / Substance Use

Male Issues

Minority / Cultural Issues