ENMHub

Health & Testing Log

STI Testing Tracker & Health Records

Personal Information

Name:

Date of Birth:

Primary Healthcare Provider:

Provider Phone:

Testing Schedule & Reminders

Recommended Testing Frequency

For sexually active ENM individuals: Every 3-6 months, or more frequently with new partners. Full panel recommended includes: HIV, HSV-1/2, Syphilis, Gonorrhea, Chlamydia, HPV (if applicable), Hepatitis B/C.

My Testing Frequency:

Next Test Due:

Testing History

Date	Tests Performed	Results	Provider/Lab	Notes

Vaccination Records

Vaccine	Date(s)	Doses Complete	Next Due
HPV (Gardasil)
Hepatitis A
Hepatitis B
Meningitis (if applicable)
COVID-19
Mpox

Prevention Methods

PrEP (Pre-Exposure Prophylaxis)

Regular condom use

Dental dam use

Birth control (type: _______)

Other: _______

PrEP Provider (if applicable):

Partner Status Sharing Log

Track when you've shared your status with partners and received theirs:

Partner (initials/code)	Date Shared	Their Last Test Date	Notes

Healthcare Resources

Preferred Testing Clinic:

Clinic Phone/Address:

Insurance Provider:

Policy Number:

Free & Low-Cost Testing

Many areas offer free or low-cost STI testing through local health departments, Planned Parenthood, or community health centers. Some at-home testing kits are also available.