West Virginia Statewide Resource Guide
Business/Organization Name
*
Business/Service Type
*
Case Management
Clinical
Clothing Assistance
Community-Based Organization (CBO)
Disease Vaccination/Testing/Treatment Services (e.g. - HIV, Viral Hepatitis)
Financial Assistance Services
For-Profit
Free Clinic
Group Practice
Hard Reduction Program
Hospital
Housing Opportunities for People With AIDS (HOPWA)
Housing Services (e.g. - Rent/Mortgage Assistance, Temporary/Permanent Housing, Shelter)
Job Placement/Career Services
Legal Services
Linkage to Care
Local/County Health Department
Mobile Clinic
Non-Clinical
Nonprofit
Nutritional Services (e.g. - SNAP, Food Pantry/Bank)
Private Practice
Referral Services
Ryan White
Sexually Transmitted Disease/Infection Testing/Treatment (STD/STI)
Telehealth/Telemedicine
Translation Services
Transportation Services
Urgent Care
Other
Resource Type
*
HIV
Substance/Opioid Use Disorder (SUD/OUD)
Viral Hepatitis
Other
Other Resources Offered
*
Please list any other resources you provide that are not connected to HIV, Viral Hepatitis, or SUD/OUD services
Business/Organization Logo
Browse Files
Please upload a high resolution version of your business/organization's logo (transparent background preferable)
Cancel
of
Website
*
http://www.website.org
Primary County of Operation
*
(Select County)
Statewide
Barbour
Berkeley
Boone
Braxton
Brooke
Cabell
Calhoun
Clay
Doddridge
Fayette
Gilmer
Grant
Greenbrier
Hampshire
Hancock
Hardy
Harrison
Jackson
Jefferson
Kanawha
Lewis
Lincoln
Logan
McDowell
Marion
Marshall
Mason
Mercer
Mineral
Mingo
Monongalia
Monroe
Morgan
Nicholas
Ohio
Pendleton
Pleasants
Pocahontas
Preston
Putnam
Raleigh
Randolph
Ritchie
Roane
Summers
Taylor
Tucker
Tyler
Upshur
Wayne
Webster
Wetzel
Wirt
Wood
Wyoming
Please select the county where you provide the majority of your services. If you serve the entire state, please select “Statewide”
If you operate in multiple counties, please select those counties:
*
Statewide
Barbour
Berkeley
Boone
Braxton
Brooke
Cabell
Calhoun
Clay
Doddridge
Fayette
Gilmer
Grant
Greenbrier
Hampshire
Hancock
Hardy
Harrison
Jackson
Jefferson
Kanawha
Lewis
Lincoln
Logan
McDowell
Marion
Marshall
Mason
Mercer
Mineral
Mingo
Monongalia
Monroe
Morgan
Nicholas
Ohio
Pendleton
Pleasants
Pocahontas
Preston
Putnam
Raleigh
Randolph
Ritchie
Roane
Summers
Taylor
Tucker
Tyler
Upshur
Wayne
Webster
Wetzel
Wirt
Wood
Wyoming
Do you operate in a 2nd County? (Please select “No” if you answered “Statewide” to the previous question)
Yes
No
2nd County of Operation
(Select County)
Barbour
Berkeley
Boone
Braxton
Brooke
Cabell
Calhoun
Clay
Doddridge
Fayette
Gilmer
Grant
Greenbrier
Hampshire
Hancock
Hardy
Harrison
Jackson
Jefferson
Kanawha
Lewis
Lincoln
Logan
McDowell
Marion
Marshall
Mason
Mercer
Mineral
Mingo
Monongalia
Monroe
Morgan
Nicholas
Ohio
Pendleton
Pleasants
Pocahontas
Preston
Putnam
Raleigh
Randolph
Ritchie
Roane
Summers
Taylor
Tucker
Tyler
Upshur
Wayne
Webster
Wetzel
Wirt
Wood
Wyoming
Please select a second county where you provide sevices
Do you operate in a 3rd County?
Yes
No
3rd County of Operation
(Select County)
Barbour
Berkeley
Boone
Braxton
Brooke
Cabell
Calhoun
Clay
Doddridge
Fayette
Gilmer
Grant
Greenbrier
Hampshire
Hancock
Hardy
Harrison
Jackson
Jefferson
Kanawha
Lewis
Lincoln
Logan
McDowell
Marion
Marshall
Mason
Mercer
Mineral
Mingo
Monongalia
Monroe
Morgan
Nicholas
Ohio
Pendleton
Pleasants
Pocahontas
Preston
Putnam
Raleigh
Randolph
Ritchie
Roane
Summers
Taylor
Tucker
Tyler
Upshur
Wayne
Webster
Wetzel
Wirt
Wood
Wyoming
Please select a third county where you provide sevices
Do you operate in a 4th County?
Yes
No
4th County of Operation
(Select County)
Barbour
Berkeley
Boone
Braxton
Brooke
Cabell
Calhoun
Clay
Doddridge
Fayette
Gilmer
Grant
Greenbrier
Hampshire
Hancock
Hardy
Harrison
Jackson
Jefferson
Kanawha
Lewis
Lincoln
Logan
McDowell
Marion
Marshall
Mason
Mercer
Mineral
Mingo
Monongalia
Monroe
Morgan
Nicholas
Ohio
Pendleton
Pleasants
Pocahontas
Preston
Putnam
Raleigh
Randolph
Ritchie
Roane
Summers
Taylor
Tucker
Tyler
Upshur
Wayne
Webster
Wetzel
Wirt
Wood
Wyoming
Please select a 4th county where you provide sevices
Do you operate in a 5th County?
Yes
No
5th County of Operation
(Select County)
Barbour
Berkeley
Boone
Braxton
Brooke
Cabell
Calhoun
Clay
Doddridge
Fayette
Gilmer
Grant
Greenbrier
Hampshire
Hancock
Hardy
Harrison
Jackson
Jefferson
Kanawha
Lewis
Lincoln
Logan
McDowell
Marion
Marshall
Mason
Mercer
Mineral
Mingo
Monongalia
Monroe
Morgan
Nicholas
Ohio
Pendleton
Pleasants
Pocahontas
Preston
Putnam
Raleigh
Randolph
Ritchie
Roane
Summers
Taylor
Tucker
Tyler
Upshur
Wayne
Webster
Wetzel
Wirt
Wood
Wyoming
Please select a 5th county where you provide sevices
Do you operate in a 6th County?
Yes
No
6th County of Operation
(Select County)
Barbour
Berkeley
Boone
Braxton
Brooke
Cabell
Calhoun
Clay
Doddridge
Fayette
Gilmer
Grant
Greenbrier
Hampshire
Hancock
Hardy
Harrison
Jackson
Jefferson
Kanawha
Lewis
Lincoln
Logan
McDowell
Marion
Marshall
Mason
Mercer
Mineral
Mingo
Monongalia
Monroe
Morgan
Nicholas
Ohio
Pendleton
Pleasants
Pocahontas
Preston
Putnam
Raleigh
Randolph
Ritchie
Roane
Summers
Taylor
Tucker
Tyler
Upshur
Wayne
Webster
Wetzel
Wirt
Wood
Wyoming
Please select a 5th county where you provide sevices
Do you operate in a 7th County?
Yes
No
7th County of Operation
(Select County)
Barbour
Berkeley
Boone
Braxton
Brooke
Cabell
Calhoun
Clay
Doddridge
Fayette
Gilmer
Grant
Greenbrier
Hampshire
Hancock
Hardy
Harrison
Jackson
Jefferson
Kanawha
Lewis
Lincoln
Logan
McDowell
Marion
Marshall
Mason
Mercer
Mineral
Mingo
Monongalia
Monroe
Morgan
Nicholas
Ohio
Pendleton
Pleasants
Pocahontas
Preston
Putnam
Raleigh
Randolph
Ritchie
Roane
Summers
Taylor
Tucker
Tyler
Upshur
Wayne
Webster
Wetzel
Wirt
Wood
Wyoming
Please select a 5th county where you provide sevices
Do you operate in a 8th County?
Yes
No
8th County of Operation
(Select County)
Barbour
Berkeley
Boone
Braxton
Brooke
Cabell
Calhoun
Clay
Doddridge
Fayette
Gilmer
Grant
Greenbrier
Hampshire
Hancock
Hardy
Harrison
Jackson
Jefferson
Kanawha
Lewis
Lincoln
Logan
McDowell
Marion
Marshall
Mason
Mercer
Mineral
Mingo
Monongalia
Monroe
Morgan
Nicholas
Ohio
Pendleton
Pleasants
Pocahontas
Preston
Putnam
Raleigh
Randolph
Ritchie
Roane
Summers
Taylor
Tucker
Tyler
Upshur
Wayne
Webster
Wetzel
Wirt
Wood
Wyoming
Please select a 5th county where you provide sevices
Primary Contact (Will not be shared)
*
First Name
Last Name
Position
Will not be shared. If none, please enter "N/A"
Primary Contact Email (Will not be shared)
example@example.com
Primary Contact Phone (Will not be shared)
-
Area Code
Phone Number
Please enter your hours of operation using a Sunday to Saturday week
*
Business Address (Physical Location)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
General Contact Name (Will appear on Resource Guide. If none, please enter "None")
First Name
Last Name
General Email (Will appear on Resource Guide)
example@example.com (If none, please enter "None")
General Phone (Will appear on Resource Guide)
-
Area Code
Phone Number
Mailing Address (If different from Physical Address)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Facebook Page
Instagram Profile
LinkedIn Page
Twitter Profile
YouTube Channel
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