Do you qualify?

Are you:

  1. HIV positive?
  2. Live in Metro Detroit?
  3. Not currently receiving HIV medical care?

If yes to all, complete the form below, or contact us directly.

Are you ready to get back into care?

Name *
Name
Date of Birth
Date of Birth
Phone Number *
Phone Number
Contact
Call or text? (Note: Caller will not identify HIV status. Caller will say they are "calling from Link-Up Detroit".
What is the best time to contact you?
What time is best to reach you? (Select all that apply)
Are you HIV positive? *
Do you live in Metro Detroit? (If no, we can still help you access services across Michigan) *
Are you currently receiving HIV medical care? *

Have a friend, partner, family member, or loved one that is out of care?

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