Condoms by Mail

If you are 16 years old or older and live within the counties of the Northeast Health District (Barrow, Clarke, Elbert, Greene, Jackson, Madison, Morgan, Oconee, Oglethorpe or Walton), you can have free condoms discreetly mailed directly to you.

The Rules:

Condom order requests outside of the Northeast Health District counties will not be mailed.
Only one order per address can be placed every 30 days.
Condoms will only be sent to individuals who have reached the age of consent (16 years old).
Condoms will only be sent to individuals. If you are a business or organization in need of condoms, please contact 706-510-8342.

Condom Request Form

We are pleased to offer condoms through the mail, free of charge, to residents of Northeast Health District Counties only. Requests outside NEHD’s jurisdiction will not be acknowledged. Thank you for your cooperation.

Condoms by mail

First Name

Last Name

Confirm Email

Phone Number (Optional)

Address (number + street)

Address 2 - Apt#, Suite, etc

City

State

ZIP

County

Month of Birth

Day of Birth

Year of Birth

Sex assigned at birth

Current Gender Identity

Sexual Orientation

Ethinicity

Type of Preferred Condom

How Did You Hear About Us?

Have You Heard of PrEP, the daily pill to help prevent HIV?

Yes

Unsure

Know Your Status! Have you been tested in the last 6-12 months? Would you be interested in scheduling an appointment to receive a Quick, Free, and Confidential HIV Test?

Yes, please contact me about FREE Test

No, not at this time

I have been tested within the 6-12 months

Are You Interested in Learning More About PrEP?

Yes

Comments, Questions or Notes (optional)

Last Updated on May 27, 2023

The Rules:

Condom Request Form

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