HIV and STD Testing

FREE HIV/STI Walk-In Clinic Hours at Falls Community Health

Mondays: 8 a.m. to 12 p.m.
Tuesdays: 8 a.m. to 12 p.m.
Thursdays: 12 p.m. to 4 p.m.

521 N Main Ave. Sioux Falls, SD 57104. Call 605-367-8793.

Testing includes: HIV A/B Rapid Screening, Syphilis, Gonorrhea and Chlamydia. Treatment will be based on test results, client history, exposure, and type of infection.

Confidential risk reduction counseling prior to and after testing. Clients are highly encouraged to see a healthcare provider if symptomatic. Preliminary positive results are laboratory confirmed; Clients who test positive are referred to additional services and treatment as needed

The South Dakota Department of Health in Sioux Falls provides FREE testing at their location, at 4101 W. 38th Street Suite 102, Sioux Falls SD. 57106. Their office is located next to the Savers Store (to the west). Call 1-866-315-9214.


You can be scheduled with a provider at Falls Community Health (there may be a cost for this visit). Call 605-367-8793


The Falls Community Health HIV/AIDS Prevention Program is committed to achieving the goals of the National HIV/AIDS Strategy.

  • Reduce the number of people who become infected with HIV
  • Increase access to care and improve health outcomes for people living with HIV
  • Reduce HIV-related health disparities

550 people are estimated to be living with HIV/AIDS in South Dakota. Our goal is to ensure every HIV positive person is aware of their status, linked to quality medical care, and provided the support they need to lead a long, healthy life.

Services provided

  • HIV/STI education
  • Risk reduction counseling
  • Free condom distribution (see map below)
  • Ryan White Part C
  • HIV medical care and treatment
  • Pharmacist consultation
  • Referrals

How Do You Get HIV?

HIV is spread through blood, semen, vaginal fluids, and breast milk. It can be passed from one person to another:

  • During oral, vaginal, or anal sex without a condom or without being on medicines that prevent or treat HIV
  • While sharing needles or equipment used to inject drugs or give tattoos or piercings;
  • From a mother to her baby during pregnancy, childbirth, or breastfeeding.

HIV is NOT spread by:

  • Air or water;
  • Insects, including mosquitoes or ticks;
  • Saliva, tears, or sweat;
  • Casual contact, like shaking hands or hugging;
  • Using public drinking fountains or restrooms.

Who should get tested?

The CDC recommends everyone age 13-64 be tested at least once as part of their routine health care. If you answer “yes” to any of the following questions, you are at increased risk for HIV infection and should get an HIV test:

  • Have you had sex with someone who is HIV positive or whose HIV status you didn’t know?
  • Have you injected drugs (including steroids, hormones, or silicone) and shared equipment with others?
  • Have you exchanged sex for food, shelter, drugs, or money?
  • Have you been diagnosed or sought treatment for an STD?
  • Have you been diagnosed or sought treatment for hepatitis or tuberculosis?
  • Have you had sex with anyone who has any of the risk factors listed above or whose history you don’t know?

You should also get tested if:

  • You have been sexually assaulted;
  • You are a woman who is planning to get pregnant or is pregnant.

About the Rapid HIV Test

The rapid HIV test looks for antibodies to HIV. If a person was infected with HIV, the body can take 3-6 months to make the antibodies. At 3 months, an HIV test has an accuracy of 97% and is the recommended guideline by the CDC for getting tested after a risk for HIV. The full 99.7% accuracy is achieved at 6 months. When it’s time to take the test, a clinician will ask you general health questions and discuss risk factors. A small sample of blood will be taken from your finger. The rapid HIV test takes 15 minutes for results.

What if my test is negative (nonreactive)?

If your last risk for HIV was less than 3 months ago, it is uncertain whether you have HIV. Another test would be recommended after the 3 month time frame has passed. If your last risk for HIV was more than 3 months ago, you can be confident you are not infected with HIV. If there is a known risk for HIV and you test negative at 3 months, it is recommended to get a follow up test at 6 months.

What if my test is reactive?

If a rapid test is reactive, a confirmatory blood draw will be taken and a recommendation to do full STD testing will be made. Early intervention services and HIV medical care services are available for people who are HIV positive. This service is funded by the Ryan White Care Act. There is currently no cure for HIV, but there are treatments that help keep the infection under control and programs to pay for these treatments. Many people with HIV live long and healthy lives.

We are required by law to report all positive test results to the South Dakota Department of Health (SD DOH). Your information will not be released outside of SD DOH (and even within SD DOH very few people have access to the information).

You can lower your risk of getting HIV by

  • Choosing less risky sexual behaviors;
  • Using condoms consistently and correctly;
  • Reducing your number of sex partners;
  • Using HIV medication to reduce your risk;
  • Getting tested and treated for other STDs;
  • Not having sex if drunk or high;
  • Not sharing needles if injecting drugs.

Location of Free Condoms

Condoms are available at several locations in Sioux Falls and its surrounding communities. Condoms are provided free of charge to help prevent the spread of HIV and other sexually transmitted infections.

Learn more about condom distribution sites at