Get Tested

To control STDs, the Alabama Department of Public Health county health departments operate free, confidential STD clinics statewide. Free testing and treatment are provided for chlamydia, gonorrhea, syphilis, trichomoniasis, and HIV. To find the closest clinic near you, contact your nearest county health department. Montgomery, Jefferson, and Houston County Health Departments offer Fast Track Testing.

Testing of pregnant women for sexually transmitted diseases in Alabama is required. View the legislation, effective April 14, 2024, titled Alabama Rule 420-4-1-.11.

• General STD Testing
• Prenatal STD Testing
• STD/HIV At Home Testing

Get Yourself Tested

Did you know that you are 5 times more likely to contract HIV if you already have an STD?

1 in 2 sexually active young people will get an STD before the age of 25! Most will not know it.

To control STDs, the Alabama Department of Public Health county health departments operate free, confidential STD clinics statewide. Free testing and treatment are provided for chlamydia, gonorrhea, syphilis, and HIV. To find the closest clinic near you, contact your nearest county health department. Montgomery, Jefferson, and Houston County Health Departments offer Fast Track Testing.

You can access free HIV testing care with these organizations.

Prenatal screening for sexually transmitted diseases (STD) such as chlamydia, gonorrhea, syphilis, and HIV is vital to protect your unborn child. These infections can be passed to your unborn baby through the umbilical cord or, in some cases, during delivery and even breastfeeding.

Prenatal STD Testing

Syphilis

All pregnant women should get tested for syphilis at their first prenatal visit, between 28 and 38 weeks, and during labor and delivery. 

Syphilis infection can pass through the umbilical cord to the unborn baby. If left undetected or untreated, syphilis can cause a variety of issues for unborn and newborn children, including:

• Increased risk of miscarriage, premature birth, or stillbirth
• Brain and nerve problems
• Blindness and deafness
• Meningitis

Please download our flyer on syphilis for more information.

Download our full guide for a list of all recommended STD tests broken down by initial prenatal visit, third trimester, labor & delivery, and for patients who present at delivery with no prenatal care.

Chlamydia and Gonorrhea

All pregnant women should get tested for chlamydia and gonorrhea at their first prenatal visit, and if they begin to show signs of these diseases, such as abnormal vaginal discharge or unilateral labial pain. 

Infection in newborns results from perinatal exposure to the mother's infected cervix and can result in severe complications including:

• Blindness
• Pneumonia

Please download our flyer on chlamydia and gonorrhea for more information.

HIV

HIV infection can pass from mother to child during pregnancy, delivery, and breastfeeding. Although HIV is not curable, early detection during pregnancy can reduce the risk of transmitting HIV to the unborn child by 99% or more. Unless the pregnant woman has an HIV infection, she should get tested at her first prenatal visit, between 28 and 32 weeks, and during labor and delivery.

Please download our flyer on HIV for more information.

Testing

Contact your local county health department about free STD testing and treatment. STD/HIV home specimen collection and laboratory testing kits are now available by mail for all Alabama residents, and to select individuals who are on PrEP therapy. Persons may request one test every three months. Learn more at STD/HIV Home Testing.

Download our guide for a list of recommended STD tests broken down by initial prenatal visit, third trimester, labor & delivery, and for patients who present at delivery with no prenatal care.

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Home Testing

IMPORTANT NOTICE: Home test kits are currently unavailable until May 2025. Please check back then to order a kit.

STD/HIV home specimen collection and laboratory testing kits are now available by mail for all Alabama residents, and to selected individuals who are on PrEP therapy. Persons may request one test every three months.

The following home test combinations are available:

• Chlamydia/Gonorrhea (single-site), Syphilis, and HIV
• Chlamydia/Gonorrhea (triple-site), Syphilis, and HIV
• Chlamydia/Gonorrhea (triple-site), Syphilis, HIV, and Creatinine*

*The third home-test kit combination will be for designated individuals enrolled in PrEP.

Ordering the Kit

• Go to https://adph.mybinxhealth.com to create an account.
• Complete the risk assessment using the website.
• Order a home test kit by choosing from the test boxes or building your own box.
• Binx Health providers will review and approve the order for each eligible client.
• Binx Health will mail a discrete home test kit to the client.

After You Receive Your Kit

• Log in to your account at https://adph.mybinxhealth.com and activate your home test kit.
• Following the instructions, collect specimens, and mail samples in a pre-paid package.

Note: Sexual health counselors with Binx Health are available for support if you have questions about specimen collection.

Test Results

• Binx Health providers will review test results and release all negative results to the client portal.
• Binx Health providers will review all positive test results and make 3 attempts to notify the client before releasing their test results.
• You will receive a notice that your results are ready to view when results are posted in the Binx Health client portal.
• Binx Health will notify the ADPH Division of STD of any positive syphilis or HIV test results.
• Binx Health will notify the ADPH Division of STD of any positive chlamydia or gonorrhea client who they were unable to contact.

Treatment and Follow-Up

• Binx Health providers will offer prescriptions to clients with private health insurance who tested positive for chlamydia.
• Binx Health will refer all uninsured or underinsured clients and those needing injectable treatment to their local county health departments.
• Binx Health will notify the Division of STD of all reactive syphilis or HIV test results.
• The Division of STD will follow up on all clients with reactive syphilis or HIV test result.
• The Division of STD will follow up on all clients with reactive chlamydia or gonorrhea who Binx Health providers were unable to contact.

More About the Initiative

The Alabama Department of Public Health Division of Sexually Transmitted Disease Prevention and Control has collaborated with Binx Health to implement home delivery STD/HIV specimen collection and laboratory test kits by mail. The purpose of the initiative is to promote STD/HIV testing among individuals at home in an effort to strengthen the STD/HIV prevention and control program in Alabama. The second phase of the project focuses on offering STD/HIV home specimen collection and laboratory test kits for all Alabama residents including college/university students, and to selected individuals who are on PrEP therapy. Alabama residents will be able to request one STD/HIV home specimen collection and laboratory test kit per quarter.

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PrEP

Pre-exposure prophylaxis (or PrEP) is when people at very high risk for HIV take HIV medicines daily to lower their chances of getting infected. PrEP can stop HIV from taking hold and spreading throughout your body. It is highly effective for preventing HIV if used as prescribed, but it is much less effective when not taken consistently.

Daily PrEP reduces the risk of getting HIV from sex by more than 90%. Among people who inject drugs, it reduces the risk by more than 70%. Your risk of getting HIV from sex can be even lower if you combine PrEP with condoms and other prevention methods.

For more information on PrEP including where to find it in Alabama, visit the Office of HIV Prevention and Care.