Sexual Health Services

Notice: Response to COVID-19

Sexual Health Services including HIV/STD testing, mobile and PrEP Navigation are suspended until May 3rd due to the multi-county COVID-19 public health order. City Clinic is available only for urgent sexual health concerns (i.e. clients presenting STD symptoms or recently diagnosed STD positive test results). Clients interested in HIV/STD testing after May 3rd can also make an appointment below.


We want you to enjoy a healthy and fulfilling sex life.

HIV/STD Testing​
We offer anonymous and confidential HIV testing, as well as limited STD (see tab below for more information), Hepatitis C screening, and Hepatitis A vaccination. These services are provided free of charge and free of judgment. 

PrEP Navigation
Pre-Exposure Prophylaxis or PrEP is a pill that you can take to prevent you from getting HIV. We offer counseling and information about taking PrEP, help with insurance coverage or payment assistance, and can connect you to a doctor who can prescribe the medication. 

Schedule Your HIV Appointment
415-502-TEST (8378)
Tuesday - Thursday: 12:00pm - 6:30pm
Friday: 12:00pm - 4:30pm

Schedule Your HIV Appointment Online

 

What to expect

A counselor will come to get you and take you into a private room. There, your counselor will explain the testing process, answer any questions you may have, and obtain your consent to be tested. 

If you agree to be tested, you will proceed to the lab, where a phlebotomist will collect a sample of your blood. This sample will be used to run your HIV test. (If you qualify for STD testing, there will be additional blood taken for Syphilis, and swabs taken for Oral/Rectal Chlamydia and Gonorrhea.)  

The STD results come back in 10 business days.

You will then return to the room with your counselor to talk about your risk for HIV and any other related questions or concerns you may have. If you don’t have much to talk about, you may be asked to wait in our waiting room until your result is ready. After 20 minutes (the amount of time that the HIV test takes to run), your counselor will return with you to a private room to disclose the result.

Afterward, you will have another chance to talk to your counselor about any questions or concerns you may have.

What is the window for an HIV test?

The Alere Determine test detects the presence HIV antigens and antibodies. A person’s immune system produces HIV antigens and antibodies after being infected with HIV. The window period is the time between a person’s infection with HIV and the time the body produces a sufficient amount of antigens/antibodies to be detected by the test. People infected with HIV usually develop detectable antigens/antibodies between two weeks and four weeks after infection. If your risk for HIV was less than four weeks prior to your HIV antigen/antibody test, it is possible that the test would not detect the infection.

Alere Determine™ HIV-1/2 Ag/Ab Combo (Determine Combo) is a rapid test capable of detecting HIV-1 p24 antigen and HIV-1 and HIV-2 antibodies. The p24 antigen is a part of the HIV virus and can be detected before antibodies develop. If the test is reactive, the Determine Combo indicates whether the reaction is caused by antigen, antibody, or both. Please discuss the window period with your counselor if you have additional questions.

What happens if I test positive for HIV?

If you receive a reactive HIV antigen/antibody result it means your test is postive it is very likely that you have been infected with HIV. To confirm the diagnosis, your counselor will ask you to provide a blood sample in order to run confirmatory laboratory tests. Your counselor will also introduce you to someone who can help link you with HIV-specific medical care, as well as other services such as partner notification, or psychosocial support.

Do you offer STD testing?

We offer limited STD testing (Syphilis, Oral and/or Rectal Chlamydia and Gonorrhea) for all male and transgender identified clients who have sex with men. Results are available after ten days. When you test positive for an STD, we will call you and schedule you for an appointment for treatment. If AHP cannot provide STD testing services to you or if you require additional STD testing, we can refer you to another provider who can help you.

STD testing is limited to residents who live and or work in San Francisco, identify as men who have sex with men or transgender clients who have sex with men, regardless of HIV status. HEP C testing is available to anyone who has shared needles for injection use.