Indigi-IWTK - Indian Country ECHO

How to Order

Test Options

Kit Contents

Collecting Your Sample

Availability

Resources for Providers

At Indigi-IWTK, we believe that getting tested is an act of love, responsibility, and respect.

Indigi-IWTK offers free, confidential, at-home testing kits for the most common sexually transmitted illnesses (STIs).

The test is designed to be easy, convenient, discreet, and confidential. Just follow these simple steps:

Create a confidential account on the Indigi-IWTK website.
Select from a variety of test options to order the one that fits your individual needs.
The kit arrives in the mail in discreet packaging.
Follow the instructions to take the test, and then send it back with pre-paid postage.
Wait for your confidential results to arrive in just a few days!

How to Order

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Login

Create a new account on the Indigi-ITWK website or LOGIN to go to an account you previously created. Be sure to tell us your full first and last names and your complete mailing address. Please answer all other questions completely.

Order

Place your order by following the prompts. Not sure what parts of your body should be tested? Scroll down to view your test options.

If you are retesting after being treated for an STI, be sure to wait at least 3 months after completing your treatment before collecting your samples.

Wait for the Mail

Wait for your kit to arrive in the mail. After 7 days, Contact Indigi-IWTK if you are worried about why your kit has not arrived.

Test Options

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At Indigi-IWTK we will test for chlamydia [kla-mid-ee-a] and gonorrhea [gone-or-ee-ah] in your vagina, penis, butt, and/or throat. We also offer trichomonas testing for women. It is your decision about what tests to order and what body sites you want us to test, but we have some guidance to help you know what may be best for you.

How do you know which body sites to test for STIs?

Knowing what to test is easy! Whatever parts of your body come into contact with someone else’s genitals should be swabbed and tested. This could be your throat, your vagina, your penis, or your butt. Remember – using a sex toy also counts as contact. Here is more information to help you decide:

What kind of sex have you had in the past 3 months?	Body Sites We Recommend for Testing If Your Answer is Yes
Have you given oral sex? (This means you have given someone a blow job, given someone head, gone down on someone)	Throat (Order a throat swab)
Have you received oral sex? (This means someone has given you a blow job, given you head, gone down on you)	Penis (Order a penis swab) or Vagina (Order a vagina swab)
Have you received vaginal sex? (This means someone put their penis or sex toys into your vagina.)	Vagina (Order a vagina swab)
Have you received butt (anal) sex? (This means someone put their penis or sex toys into your butt.)	Butt (Order a butt swab)
Have you put your penis into someone else’s vagina or butt (anus)?	Penis (Order a penis swab)

If you are transgender, non-binary, or genderqueer, please pick the swab type that best suits the genitals you currently have and a throat or butt swab if you have sex with those parts of your body.

Remember that you do not need to collect blood for any of the STI tests. Read about Collecting Your Samples.

Should you order an in-home HIV test kit?

The CDC recommends that everyone between the ages of 13 and 64 get tested for HIV at least once. You should be tested routinely (every 3-6 months) for HIV if any of the STI risk factors apply to you. Men or Transwomen who have sex with people who identify as men should get tested for HIV every 3 months. If you are an intravenous (IV) drug user, it is also a good idea to get tested for HIV at least once a year.

If you reside in some areas you can order an in-home HIV test called an OraQuick from Indigi-IWTK. You can order this test by itself or along with STI tests. The OraQuick test is very easy to do and all the supplies you need come with the kit. All you have to do is collect some fluid from along your gum line using the oral swab test stick that comes with the kit. There is no blood collection involved. The test is fast and totally painless.

Remember that this test is only reliable if it has been at least 3 months since you might have come into contact with HIV. If you might have been exposed more recently, then you should consider getting an HIV blood test. Fast and confidential HIV blood tests are offered at low or no cost at many clinics and health centers. Find a testing location. If think you might have come into contact with someone with HIV in the past 72 hours, see a healthcare provider urgently to discuss a course of medication called PEP (post exposure prophylaxis). PEP might prevent you from becoming infected with HIV.

It is best to know your HIV status. If your test is positive, you can start taking medication to keep the virus at undetectable levels, stay healthy, and prevent transmission to your partner(s). If your test is negative, you may want to consider starting on pre-exposure prophylaxis (PrEP), a daily medicine that is very effective at preventing HIV infection.

Kit Contents

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After you’ve selected the appropriate test, it will arrive in the mail in a discreet package resembling any other package you would receive from an online retailer. The contents will differ depending on the type of test you selected.

When your STI kit arrives in the mail it will contain the following items:

For Blood Samples (If blood tests are ordered):

Alcohol Wipes
Safety Lancets
Collection Tube
Tube Holder
Bandage
Small Transport Bag

For Swabs and Urine (If ordered):

One, two, or three swabs in plastic tubes, depending on what you order. Each swab will be labeled with the body part on which you will use it (vagina, penis, butt, or throat). The tubes may also be labeled with a bar code and a number but you don’t need to worry about those. Your name will not appear on any of the plastic tubes.
A Transport Bag for Each Swab
Pouch (Male Urine Sample Only)
Bottle (Male Urine Sample Only)

Plus, these additional Items for all kits:

Condoms
Resource Booklet
Two Pregnancy Tests (Only If Vaginal Swab is Ordered)

To collect your samples, just follow the instructions and send them back to us using the prepaid packaging. We will let you know via text or email when we have received your samples and again when your test results are ready for viewing.

Collecting Your Sample

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Before you collect your samples, it is important to remember that STIs have “incubation periods” when you may get a negative test result even if you have an infection. This means if you want to know for sure that you have not caught an infection after sex with someone, you should wait long enough before collecting your samples so the incubation period is over. Here are the incubation periods for some common STIs:

STI	Incubation Period
Chlamydia [Kla-mid-ee-a]	7-21 days
Gonorrhea [Gone-or-ee-ah]	1-14 days
Trichomonas [Trick-a-moan-us]	7-28 days
Syphilis [Siff-a-liss]	2-3 weeks
HIV	2-6 weeks
Hepatitis B	8-22 weeks
Hepatitis C	2-26 weeks

Availability

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Resources for Providers

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If you are a provider looking to promote Indigi-IWTK in your clinic, visit Native Health Resources for free and low-cost Indigi-IWTK promotional materials tailored for specific regions.

Native Health Resources

One-stop shop for no or low-cost Indigenous health education tools.

Testing Algorithms

For a glossary of test results please click here!

External Lab Information

Lab Name	PreventX (Pandora S9)
Address	10234 Alliance Road Blue Ash, OH 45242
Director	Dr. Stephen J. Jordan
CLIA Number	36D2282811

	Jason Arion Butler is an enrolled member of the Ute Tribe of Fort Duchesne, Utah and is also part Mojave and Cherokee. He resides in Gibson, Idaho with his wife of 22 years, children, and grandchild who are all enrolled members of the Shoshone-Bannock Tribes. He graduated from Idaho State University with a Bachelor of Arts in Psychology and earned his Master of Science in Family and Human Development from Arizona State University. He has spent the past 5+ years employed by the Shoshone-Bannock Tribes, Tribal Health and Human Services Department, where he spent time serving as the Recovery Service Coordinator for the Four Directions Treatment Center, the manager for the Community Health Representative program, and recently accepted the position of Behavioral Health Manager. He strives to incorporate Native culture, traditions, morals, and values into the healthcare services provided to Native communities, implementing these practices into his work with the Shoshone-Bannock Tribes and advocating for the reconstruction of healthcare practices nationally. Today he says, “I am loving life and am extremely thankful to have found a career path I love.

	Carrie Sampson-Samuels is an enrolled member of the Confederated Tribes of the Umatilla Indian Reservation located in Eastern Oregon. Carrie has an early background in nursing providing patient care in long term and clinical care settings. Carrie then furthered her education in community health and health studies at Portland State University, later advancing her education in healthcare management at Oregon Health and Sciences University while serving in leadership and executive management for a Tribal health organization as the Community Health Director. Carrie has served Tribes from Oregon to Montana and the Treaty 7 Blackfoot Confederacy in Southern Alberta. As the Community Health Aide Project Director for the Northwest Portland Area Indian Health Board, Carrie has provided leadership, advocacy and project management for expansion for the Behavioral Health Aide and Community Health Aide Program under the umbrella and direction of the Tribal Community Health Provider Project. This work has led to the expansion of Tribal Community Health Providers in Washington, Oregon, and Idaho. Carrie is responsible for leading partnerships with the education institutions, key Tribal partner sites, contract experts and advisory workgroups. This includes development of education infrastructure, education curriculum, recruitment strategies, tools for integration of providers into tribal health organizations, and working with state partners to develop policy and infrastructure for provider reimbursement. Carrie manages and writes multiple grants that support all aspects of this work and provides technical assistance support to the Portland Area CHAP Certification Board. Carrie is the proud mother of 4 daughters and resides on a small ranch on her Tribal homelands.

	Dr. Liu is a generalist OB/GYN at Gallup Indian Medical Center. In addition to her medical degree, she holds a PhD in Health Policy. Among other publications, she served as the chief editor for the 2019 Oxford University Press book: “50 Studies Every Obstetrician and Gynecologist Should Know.” She has formal training in Quality Improvement processes through the Partners Clinical Process Improvement Leadership Program (CPIP), which she utilized to implement emergency contraception at Massachusetts General Hospital. During her six years at Gallup Indian Medical Center she has primary responsibility for preparing and reporting of metrics related to the delivery of obstetric care, and serves on the Continuing Medical Education committee.

	Dr. Hoover is from Chicago, where he grew up and went to medical school, at Rush University, on Chicago’s diverse West Side. He was trained in Urology at Boston Medical Center in Boston’s beautiful South End neighborhood. Dr. Hoover went on to pursue fellowship training in voiding dysfunction and laser prostate surgery at Beth Israel Deaconess Medical Center. Dr. Hoover is a Board-Certified Urologist, by the American Board of Urology, having achieved this honor in 2018. Dr. Hoover has several peer-reviewed publications, including research studies and medical illustrations. His family is happy to call Gallup home since the end of 2017. In their free time they like to explore New Mexico’s wilderness and go camping. Now that their two girls are growing up, it’s also imperative that we catch Pokemon wherever we go.Dr. Hoover is the only Urologist in McKinley County, New Mexico, and in any of the surrounding counties– it’s just him between Albuquerque and Flagstaff. He’s happy to continue seeing established patients, and is accepting new patients from the entire region. Dr. Hoover believes in communication, candor, and compassion as essential tenets of patient care. Dr. Hoover is an expert in general Urology, male and female voiding dysfunction, kidney stones and kidney stone surgery, BPH and laser prostate surgery, erectile dysfunction, vasectomy, prostate cancer, bladder cancer, kidney cancer, testicular cancer. Many of the procedures he do as a Urologist are done in the office including: cystoscopy, vasectomy, urodynamics, treatment foroveractive bladder, and many others. Please call/text or email and let him and his staff know how they can help you.

	Eric Wortmann, MD is the former Director of Emergency Medicine at Chinle Comprehensive Health Care Facility. Besides patient care, Eric has a deep passion for mentoring aspiring physicians and health care providers. He was the Education Director of Emergency Medicine at Chinle as well as Adjunct Faculty for the US Army teaching Special Forces Medics. He has been a visiting professor of Emergency Medicine in Haiti and has worked in the Dominican Republic since 1989. Eric has a long-time passion as a mid and long-distance running coach. He has lived on Kauai for 30 years. Currently he divides his time between Northern Italy and Hawaii. Recently he was accepted into Doctors without Borders USA and is awaiting his first assignment.

	Corey Detlefs, MD, FACS, is the Trauma Outreach Director and an Associate Professor of Surgery at the University of Arizona College of Medicine – Phoenix