If you would like to visit Grace Nation Head Quaters, Fill the questionnaire form
* All HIV patients need to come with their most recent original printed HIV confirmatory report when their visit is confirmed. Please note that no screening report will be accepted, only a confirmatory report that clearly states that this patient is HIV I, II OR III positive, and it must be typed on the hospital's letterhead. It must be a government recognized hospital in your country. You cannot come without the correct medical report.
Please fill all the fields to enable the "Send Questionaire" button