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Data Collection Tool

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Data Collection Tool

Contact us for more information about our support group and resources. Based in Atlanta, GA, our organization proudly offers our services for women throughout the nation.

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Year of birth
Year of HIV diagnosis
HCV Co-Infection
Other STI diagnosis prior to HIV
HBV Co-Infection
Pregnant while HIV+
Pregnant while on ART
Breastfeed while HIV+
Mode of Transportation
Home Internet
Partner Aware of HIV diagnosis
Family Aware of HIV diagnosis

Medical Office Hours and Clinical Support

9:00am – 5:00pm Monday – Thursday
9:00am – 1:00pm Friday

2193 Cascade Road SW
Atlanta, GA 30311

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