Counseling, Testing and Referral (CTR) Program

The Missouri Department of Health and Senior Services (DHSS) conducts HIV Counseling, Testing, and Referral (CTR) services directly and indirectly for the citizens of Missouri. This is done through the CTR Program and the STD HIV Disease Investigation Unit. In an effort to provide effective services to any and all clients, the CTR Program has established the following program goals:

Collaboration with other HIV Care and Prevention programs is essential for success. The CTR Program is dedicated to a holistic approach to curb the HIV epidemic and strives to assist and support the processes of other HIV-related programs, including Prevention Community Planning, Care and Case Management, and Sexually Transmitted Diseases.

DHSS contracts with and provides funds for 5 lead agencies and their contractors to provide HIV CTR services in a designated region of Missouri. CTR services are provided at no charge to clients. The CTR Program includes in-house and outreach services and offers blood and oral testing through standard and rapid testing methods. 4 of the 5 contracted agencies offer services anonymously, as mandated by state law. Other approved, publicly funded agencies may submit specimens to the Missouri State Public Health Laboratory (SPHL) for HIV testing at no charge to the provider or client. The SPHL also provides HIV testing to non-public agencies for a nominal fee. The CTR Program follows the CDC HIV Counseling, Testing, and Referral Guidelines and the revised recommendations for HIV Testing of Adults, Adolescents and Pregnant Women, both found at:

Counseling & Testing Sites
HIV Counseling & Testing Trainings Available
Training Calendar

Updated: 2/19/09