• Safer-Sex Kit Request Form

    Corktown Health Center provides free Safer-Sex kits by mail customized to your needs!
  • Please note that this service is only available to residents of the State of Michigan

  • Build your custom Safer Sex kit from the items below.  A custom Kit contains 10 total items.  If you select more than 10, we will provide the first 10 selected.

  • Please note for privacy condoms will arrive in a plain brown envelope.  Your email and the data on the order form will only be used internally and will not be shared with any third party.

  • Should be Empty: