What is the HIV test like?
Why should I get tested?
What is the difference between confidential and anonymous testing?
What do the results mean?
What kinds of services are available?

The earlier HIV infection is discovered, the better. Testing is the way to learn if you have HIV or not. Here is a list of testing and services sites across Arizona, broken down into regions to make it easier to find a place near you. Many of these sites offer anonymous counseling and testing.

If you do test positive, a wide range of services, from emotional support to family education to free medications, is available. Many of these services are free.

You do not have to deal with your diagnosis alone.

Navajo AIDS Network, Inc. Chinle Valley School Trailer Court, Space 38 Chinle, AZ 86503 928-674-5676	Yavapai County Health Dept. Prescott Valley Office 3212 N. Windsong Prescott Valley, AZ 86314 928-771-3377
Yavapai County Health Dept. 929 Division St. Prescott, AZ 86301 928-771-3132	Mohave County Dept. of Health Services 318 N. Fifth St. Kingman, AZ 86402 928-753-0714 (Ryan White Title One)
Yavapai County Health Dept. Chino Valley Office 1983 Voss Drive Chino Valley, AZ 86323 928-771-3515	Mohave County Dept. of Health Services 2001 College Dr. Lake Havasu City, AZ 86403 928-453-0703 (Ryan White Title One)
Yavapai County Health Dept. Cottonwood Office 10 S. 6th St. Cottonwood, AZ 86326 928-639-8132	Apache County Health Dept. 116 S. Mountain Ave. Springerville, AZ 85938 928-333-2415
Coconino County Dept. of Health Services 2625 N. King St. Flagstaff, AZ 86004 928-522-7925	Mohave County Dept. of Health Services 1222 Hancock Rd. Bullhead City, AZ 86442 928-758-0703 (Ryan White Title One)
Gila County Health Dept. 1400 Ash Street Globe, AZ 85501 928-425-3189	Prescott Valley Office 7501 E. Civic Circle Prescott Valley, AZ 86314 928-771-3377
Navajo County Health Dept. 117 E. Buffalo Holbrook, AZ 86025 928-524-4750	North Country Community Health Center 2500 N. Rose Flagstaff, AZ 86004 (928) 779-1471
Navajo Nation HIV/AIDS Prevention Program 928-871-6665 Tuba City 928-283-5878 Dilcon Service Area-Winslow, AZ 928-657-8021 Ft. Defiance service area 928-729-4159 Shiprock, NM 505-368-7440	Cerbat Medical Center 1739 Beverly Avenue, Suite 201 Kingman, AZ 86402 (928) 692-3456

Body Positive Inc. 1144 E. McDowell St., Suite 200 Phoenix, AZ 85006 602-307-5330	Maricopa County Public Health Clinic 1825 E. Roosevelt St. Phoenix, AZ 85006 602-506-1678 (press option #4 to make an appt.)
Pinal County Dept. of Public Health 188 S. Main St. Coolidge, AZ 85228 520-868-6741	McDowell Health Care Center 1144 E. McDowell #300 4021 N. 30th St. Phoenix, AZ 85006 602-344-6550
AIDS Project Arizona 1427 N. 3rd St. Phoenix, AZ 85004 602-253-2437	Native American Community Health Center Native American Pathways Program 1029 N. 1st St. Phoenix, AZ 85004 602-279-5262
Chicanos Por La Causa 1402 S. Central Ave. Phoenix, AZ 85004 602-257-5530	Phoenix Indian Medical Center HIV Center for Excellence 4212 N. 16th St. Phoenix, AZ 85016 602-263-1200 ext. 1835 (For Native Americans only)
HIV Care Directions 1366 E. Thomas Phoenix, AZ 85014 (602) 264-2273 (Ryan White case management agency)	Terros, Inc. 828 N. 2nd St. Phoenix, AZ 85004 602-685-6086

Southern AZ AIDS Foundation 375 S. Euclid Ave Tucson, AZ 85719 520-628-7223	Pasqua Yaqui Health Dept. 7490 S. Camino de Oeste Tucson, AZ 85746 520-879- 6151
Cochise County Dept. of Health & Social Services 1415 W. Melody Lane, Bldg. A Bisbee, AZ 85603 520-432-9463	El Rio/Special Immunology Associates 1701 W. St. Mary's Road, #160 Tucson, AZ 85745 520-628-8287
Greenlee County Health Dept. 5th and Leonard St. (at the courthouse) Clifton, AZ 85533 928-865-2601	Kino Community Hospital 2800 E. Ajo Way Tucson, AZ 85713 520-741-6718
Mariposa Community Health Center 1857 N. Mastick Way Nogales, AZ 85621 520-761-2147	Theresa Lee Clinic/Pima County Health Dept. 332 S. Freeway, Room 66 Tucson, AZ 85745 520-791-7676
Graham County Health Dept. 826 W. Main St. Safford, AZ 85546 928-428-0110	Tohono O'odham Nation 2200 W. 28th St. Sells, AZ 85634 928-317-4580
COPE Behavioral/Health Promotion Services 101 S. Stone Ave, Suite 100 Tucson, AZ 85701 520-798-1772	Yuma County Dept. of Public Health 2200 W. 28th St. #137 Yuma, AZ 85364 928-317-4580

What is the HIV test like?

There are two types of HIV tests available today. Orasure is a quick and easy testing method that does not require taking blood. A small pad is used to collect a sample of cells from the inside of the mouth. This is a fast and painless procedure. The sample is then sent to a lab where it is examined. The results are sent back to the testing site. This usually takes up to two weeks.

The other type of HIV test involves drawing blood. You may want to consider the blood draw method to test your blood sample for other infections at the same time.

If you prefer to have one type of test done, or just want to find out what’s available, ask about it when you make your appointment with a testing site, or call ahead before you drop in.

When you go to your testing appointment, you will have the opportunity to talk to a trained staff person before the test is done. At this time, the staff person may ask you some questions or ask you to fill out a form. Any information that you provide will be confidential. This is also your chance to ask questions.

When you return for your results, you will again have the opportunity to talk to a trained staff person. The staff person will give you some information and answer any questions you may have before and after you receive your results. You may want information on who to talk to about your results, or where to go for medical or other services. Even if you don’t want services now, it’s a good idea to take some information with you, in case you decide that you want services in the future.

Why should I get tested?

Many people avoid getting tested even though they think they might have HIV because they’re afraid of finding out that they do have it. It’s easy to believe that we’re not HIV-positive as long as we haven’t been tested. But living with HIV and not knowing it puts you and those closest to you at very high risk for many health-related issues.

If you are HIV-positive, you can get access to a doctor who is knowledgeable about the virus and who can help you to stay healthy. Also, the longer HIV goes undiagnosed and untreated, the higher the risk of transmission.

For most people who know that they’re at risk for HIV, just thinking about it is stressful. Many people deny that they’re even at risk. The denial, stress and guilt associated with HIV can be combated through counseling and support available through AIDS service organizations.

If you find out that you don’t have HIV, the next step is to come up with ways to reduce your risk of contracting HIV in the future. You may also want to seek counseling and support. If you and your partner tested together and found out that one of you has HIV and the other doesn’t, you can look into resources available for sero-discordant couples.

Reasons for testing:

	The sooner you know, the sooner you can get treatment. The sooner you get treatment, the better chance you’ll have to reduce the progression of the virus in your body. For some good advice on choosing a doctor and talking to your doctor, visit http://www.apaz.org/pdf_documents/ConsumersHandbook2002-2003.pdf and look for the section titled “Choosing a Doctor”. For information on free and reduced cost treatment options, go to The Access Project http://www.atdn.org/access/index.html
	The sooner you know, the sooner you can get services. There are many services available to people living with HIV/AIDS in Arizona, and many of them are free. Services available throughout Arizona include case management, peer counseling, medical services, housing, mental health services, substance abuse counseling, legal services, support groups, and more. For more information on services, go to our services page.
	Confidentiality. No one other than you needs to know your HIV status. Anonymous and confidential testing is available throughout Arizona. Call one of the testing sites near you to find out about testing.
	Peace of mind. Some people living with HIV say that they were actually relieved to finally know for sure that they have HIV, because they were able to stop worrying about it and start dealing with the diagnosis. While finding out that you have HIV/AIDS is never an easy thing to go through, there are hundreds of people working all over Arizona who are trained to help you.
	If you do become sick then you may be treated differently if you are known to have HIV. For instance, if you go to your doctor with a chest problem they may take it more seriously if they know that you have HIV.
	If you know you have HIV then you can take steps to protect other people. For instance you may choose to have different types of sex that are less likely to put your sexual partner(s) at risk.
	If you know you have HIV, there are things that you can do to protect yourself and your health. This might mean using condoms to avoid getting other STDs, or it might mean taking steps to avoid catching a cold.
	Once you know that you have HIV, you may want to look into signing up for experimental drug trials. You can find information related to this at The Access Project: http://www.atdn.org/access/index.html

In short:

Confidential testing: Your name is attached to your results, but your results are protected by law. If you test positive for HIV, this information will only be passed on to the County Health Department and the Arizona Department of Health Services. Your neighbors, family, employer, and so on will not have access to your results.

Anonymous testing: Your name is not attached to your test results. You are given a number to use, and no one other than you will find out what your test results are.

In full:

The following information is from the State of Arizona. It provides a detailed description of confidential and anonymous testing, and the legal ramifications of both.

Confidentiality Options for HIV Prevention Counseling

Confidential (Identifying and locating information provided and protected by law)

Confidential testing should be used for those clients seen in any setting where a medical chart is in place, such as STD, Prenatal, TB, Family Planning Clinics. Clients who are at risk for co-infection, ie: TB, Hepatitis, should be tested confidentially to provide adequate care for their defining medical condition.

If confidential testing is selected and the test is positive:
The local health department will have the ability to provide the client with the test results in the event he/she does not return to the test site for the results. Ryan White Services (including ADAP) and most other HIV/AIDS Service Organizations require proof of positivity for entering into services. This confidential test result provides that proof.

All positive test results, regardless of testing facility (ie: physicians, hospitals, labs, clinics, etc.) must be reported to the state HIV Epidemiologists. The County Health Department is allowed by Rule to keep named information for only 30 days. Demographic information is coded, compiled and forwarded to the CDC. Names and locating information are not forwarded. County Health Departments are required to provide HIV education as well as partner counseling and referral services to all positives in a timely fashion.

According to Arizona State Statute 36-664, identifying information is protected.

A confidentiality form with a negative test result will be destroyed as it is not necessary for services.

Anonymous (Name and locating information not provided)

This option is only available in County Health Department settings and selected ADHS contracted entities.

While you will not be asked to provide your name or locating information, demographic information will be requested.

A positive anonymous test result is not sufficient documentation of HIV status. CDC excludes information from anonymous testing for HIV-related funding.

Call the numbers listed on our testing and services page to find out about confidential and anonymous testing locations near you.

A positive result means that you have HIV antibodies in your system. This does not mean that you have AIDS. If you test positive for HIV, you should see a doctor who is familiar with HIV/AIDS, and explore treatment options. If you don’t know where to find a good doctor or can’t afford to visit one, you may want to get a case manager to help you with this. See our services page.
A negative result means that at the time of the test, you either had not been exposed to HIV, or it was too early to tell. It can take up to six months for the antibodies to show up on the test. If it has not been six months since your most recent possible exposure to HIV, you may want to do the test again. Testing negative does not protect you from contracting HIV in the future.
An indeterminate test result means that the test was inconclusive, that is, it could not be declared positive or negative. Usually people re-test when this happens.

The following link has some good, concise information on counseling and testing, including the benefits and process of testing, although it is based in Upstate New York, so the local resources won’t apply.

http://www.uhs.cornell.edu/HIV_testing.html

What are the kinds of services available?

To find out what services are available to you in your area, call your local AIDS service organization. Here is a description of the kinds of services that may be available:

Case management. A case manager can be extremely helpful to you. Case managers have experience navigating the system: they can help with social security benefits, disability claims, medical referrals, and many other entitlements. They will advocate on your behalf and connect you to community services and support networks. Other services available through case managers may include: counseling, dental services, emergency rent and utility assistance, food programs, housing, in-home services, legal assistance, optical services, substance abuse treatment, transportation, and more. The Consumer Resource Handbook for Central Arizona has a great description of the role of a case manager: A case manager is a paid professional whose job is to help you access available resources and services to better your life and health status.

Drug assistance programs. Low income individuals living with HIV/AIDS are provided access to HIV medication through the AIDS Drug Assistance Program (ADAP) and other programs.

Maricopa County: http://www.maricopa.gov/Public_Health/adap.asp
Arizona: http://www.atdn.org/access/states/az/az.html
             http://www.hs.state.az.us/phs/hiv/adap.htm

Mental Health Services. People living with HIV have an incredible depth and range of emotions, and dealing with those can sometimes be made easier by talking to a mental health provider. Depression, for example, can be very difficult to deal with alone, but can be effectively handled with treatment.

Medical Assistance. For people living with HIV/AIDS who are unable to pay for medical services, there are hospitals and clinics across the state who can provide services at reduced cost or for free. Often, there is quite a bit of paperwork involved; you may want the help of a case manager to get through it all. Even if you feel fine, it is best to find a doctor who you feel comfortable with and who you trust as soon as you can. If you wait until you are really sick, the process is much more difficult.

Peer counseling. Peer counselors are people living with HIV who are there to listen to your concerns and to support you. Sometimes, people who have recently found out that they are HIV-positive prefer to talk to someone who has been through what they’re going through before seeing a counselor or case manager. Contact your local AIDS service organization to find out about the availability of peer counseling.

Substance Abuse Services. There are many different programs to fit the wide variety of needs- from detox to support groups. Even if you’re not ready to stop using, there are programs that can help you to reduce your risk of getting sick and of passing HIV on, such as Lifepoint in Tucson, which is a needle exchange program.

Support groups. You may want to get together with people who share your concerns and experiences- people who are also living with HIV/AIDS. Support groups offer a chance for you to get support as well as to give support. There’s a group for almost everyone- including for parents of HIV-infected children, couples, gay and bisexual men, Latinos, and so on.