• FAITH Enrollment/Testing Form

    Fair Access In Transgender Healthcare (FAITH) is a sexual wellness and prevention program that centers on transition-related care while normalizing routine health and wellness services for TGNC people across the South. Our services are non-traditional and so is our care. Because our program is led by Trans and Queer people we understand the unique services neccsary to help you feel whole and well not just healthy.
  • Client Demographic Information

  •  -  -
    Pick a Date
  •  -  -
    Pick a Date
  • Initial Needs Assessment/Support Services

    Please list any services that you need or would like assistance with. (For Memebrship Only)
  •  
  •  
  •  
  •  
  •  
  • Are you considered high risk?

    The next set of questions are based on your sexual activity over the last 90 days. Answering these questions helps us better determine if you are at greater risk of contracting HIV.
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancel of
  • Clear
  •  
  • YOU MADE IT!

    Thanks for taking the time to submit this needs assessment for us. These assessments help us figue out which services and resources the community values and helps us better provide the resources our community wants.  

  • Should be Empty: