Barrier Method Pick-Up Request Form

Barrier Methods Request Form

Barrier Methods Request Form

For those that want a discrete pick-up for barrier methods and sexual health resources, please fill out this form. For more information on types of barrier methods available visit the sexual well-being page. Condoms, dental dams, or lubricants will be placed in a brown paper bag with your name on it and will be available at the front desk in the Center for Health Education and Well-Being office inside the Recreation Center. You will receive a confirmation email once your order is filled. Depending on staffing your order date may be changed. Barrier methods can only be requested one week in advance.

Which barrier methods do you want? (please pick only 2)
Which sexual health education materials would you like?