STI Medication Ordering

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The Leeds, Grenville and Lanark District Health Unit provides publically funded STI medications to all community health care providers. Medications can be ordered to keep in stock at your clinic location or ordered on a case by case basis to treat patients.

STI medication orders and vaccine orders will be ready for pick up together. Order are processed every 4 weeks and must be received by 4:30pm on Thursday on the date indicated on the vaccine ordering and delivery schedule. Pick up dates and times for each of our Health Unit offices is based on hours of operation at that site. We need time to process and pack orders in our Brockville location, and send out to our other Health Unit sites.

Please ensure you bring a conditioned cooler with you for transportation of Benicillin G Benzathine (Bicillin).

Urgent orders must be made by calling the Health Unit.

STI Guidelines

STI Medication Factsheets

For more medication fact sheets and sexual health information, please visit the sexual health section of our website.

Patient Resources

STI Medication Ordering Form

Name of Health Care Provider/Clinic(Required)

Date of Request(Required)

Contact Person(Required)

First Name Last Name

Phone(Required)

Fax

Email(Required)

Address(Required)

Street Address Address Line 2 City Province Postal Code

Special Instructions

Health Unit Office/Service Site(Required)

Available STI Medications for Order(Required)

Azithromycin 250mg - 6 tablets per box (1.5 doses/box)

Doxycycline 100mg

Ceftriaxone 250mg with 1% Lidocaine 0.9ml

Cefixime 400mg

Penicillin G Benzathine (Bicillin) 2.4 million units in divided syringes

Available Supplies for Order

Condoms

Azithromycin 250mg Quantity Required(Required)

6 tabs per box (1.5 doses/box)

Doxycycline 100mg Quantity Required(Required)

Ceftriaxone 250mg with 1% Lidocaine 0.9ml Quantity Required(Required)

*Lidocaine dilutant will be provided with each dose of Ceftriaxone ordered*

Cefixime 400mg Quantity Required(Required)

Penicillin G Benzathine (Bicillin) 2.4 million units in divded syringes Quantity Required(Required)

Penicillin G needs to be refrigerated at all times to maintain its cold chain (2-8 degrees Celsius)

Condoms Quantity Required(Required)

Gonorrhea treatment kit (includes: 1 – 21 gauge, 1.5” needle, 1 – 3cc syringe)

Consent and Tracking(Required)

By checking this box, I understand and consent to utilizing these medications for their intended purposes of treatment of STI's and agree to tracking administration, treated infection, expiration and wastage.

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