Douglas County, Oregon reported syphilis cases run about 16% lower than the US average. If you're looking to get tested before starting a new relationship or as part of ongoing care in Melrose, Oregon, consider the trade-offs: cost vs. speed vs. convenience. Options for testing are listed.
Available testing centers
7 testing options are listed for Melrose, OR. The nearest, Aviva Outpatient Behavioral Health, is about 4.0 miles away. Compare community and public clinics, private labs, and at-home kits below.
Listings tagged Community health center are federally funded health centers and rural clinics that treat everyone regardless of insurance or ability to pay: required to bill on a sliding fee scale and provide confidential care, and in many states minors may consent to their own STI testing. A Title X tag flags centers funded for confidential family-planning services; confirm current participation when you call.
Source: CMS FQHC & Rural Health Clinic enrollment files (data.cms.gov), refreshed quarterly. Title X status reflects the latest OPA grantee list.
Aviva Outpatient Behavioral Health in Roseburg carries federal FQHC designation, which means STI screening fees slide with your income. No one is turned away for inability to pay. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia testing without an appointment needed.
Tests offered
Fees & payment
Aviva Health - Reproductive & Women's Health Clinic in Roseburg carries federal FQHC designation, meaning fees scale to income so cost isn't a barrier. Walk-ins are welcome for STI screening covering syphilis, gonorrhea, and chlamydia. No appointment needed.
Tests offered
Fees & payment
HIV Alliance in Roseburg anchors its STI care in deep community health infrastructure: rapid HIV, hepatitis C, and syphilis testing with same-visit treatment for bacterial infections, all by appointment, all at no fee to anyone who walks through the door.
HIV Alliance structures its entire operation without a billing line: no sliding scale to qualify for, no cost attached to testing, counseling, or treatment. Staff process hepatitis C care, HIV medical treatment, and medication adherence counseling the same way: the clinical work happens, and no invoice follows it.
Spanish language access at HIV Alliance is embedded in how the clinic is staffed: counseling, prevention education, and HIV test counseling are conducted directly in Spanish by clinic personnel, so the clinical conversation about hepatitis C, PrEP, or test results runs at full depth without a relay.
When prevention medication isn't available at the clinic where someone first asks, the gap between that conversation and an actual prescription can stretch into weeks. HIV Alliance prescribes and manages both PrEP and PEP directly, the same clinicians handling HIV medical treatment also carry prevention medication through initiation and ongoing monitoring.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN
Free tool · not a clinic
Testing too soon can miss an infection. Enter the date of possible exposure to see the earliest a test can reliably detect each STI.
| Infection | Earliest reliable test | Conclusive after |
|---|---|---|
| Chlamydia | 7 days after exposure | 14 days after exposure |
| Gonorrhea | 7 days after exposure | 14 days after exposure |
| Trichomoniasis | 7 days after exposure | 28 days after exposure |
| HIV (NAT / RNA) | 10 days after exposure | 33 days after exposure |
| HIV (4th-gen Ag/Ab) | 18 days after exposure | 45 days after exposure |
| HIV (antibody) | 21 days after exposure | 84 days after exposure |
| Syphilis | 21 days after exposure | 42 days after exposure |
| Hepatitis B | 21 days after exposure | 42 days after exposure |
| Hepatitis C | 56 days after exposure | 77 days after exposure |
| Herpes (HSV) | 28 days after exposure | 112 days after exposure |
Guidance only, confirm timing with a clinician. A negative result before the conclusive date may need a repeat test.
Typical out-of-pocket ranges by option, actual cost depends on which tests you need.
Public / community clinic
Free HIV testing is common
Private lab (self-pay)
Never billed to insurance
At-home kit
Mailed to your door, private
Doctor / urgent care
Often $0 preventive with insurance
No centers match those filters. Clear the service-type filter or the opening-hours filters to see every center.
Every other option
Beyond the dedicated testing centers above: at-home kits by mail, hospital labs certified for STI testing, local clinicians who can order a panel during a regular visit, pharmacies for self-test kits and prescriptions, and online PrEP & treatment.
Test from home
The nearest testing center is about 4 miles away; if you'd rather skip the trip, an at-home kit ships to Melrose, you collect the sample privately, and mail it back to a CLIA-certified lab. Results come online in days, with a clinician available if anything is positive. Same labs as a clinic, no waiting room, and you can read how accurate at-home STD tests are before you order.
Want a free option first? The CDC-supported TakeMeHome (opens in a new tab) program mails free at-home HIV self-test kits, and, in many areas, free STI kits, to your door, with no insurance or payment needed. The paid kits below add broader panels and faster turnaround.
In-home collection
$79 & up
Best range: couples & full panels
$79 & up
Best value: single tests
$49 & up
Every kit uses CLIA-certified labs. At-home testing is for screening; a reactive result should be confirmed and treated by a clinician. Prices and panels shown are illustrative and change often, confirm current details on the provider's site.
Also in the area
Beyond the public testing sites above, these federally certified (CLIA) labs serve Douglas County, each lab's town is shown on its card below. Many test through a doctor's order or by appointment rather than walk-in, so call ahead to confirm STD/STI testing and availability before visiting.
2700 Stewart Parkway, Roseburg, OR 97471
CMS-certified lab Accredited · College of American Pathologists
2700 Northwest Stewart Parkway, Roseburg, OR 97471
CMS-certified lab Accredited · College of American Pathologists
2570 Northwest Edenbower Boulevard, Suite 100, Roseburg, OR 97471
CMS-certified lab Accredited · College of American Pathologists
913 Northwest Garden Valley Building Building 1 Rm205, Roseburg, OR 97471
CMS-certified lab Accredited · College of American Pathologists
1813 West Harvard Ave Suite 436, Roseburg, OR 97471
CMS-certified lab
Showing the nearest 5 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Melrose. A CLIA certificate records only that a laboratory is federally certified — it does not confirm the site performs STD testing, nor its hours, price or access. Inclusion is not an endorsement; always call to verify.
Local clinicians
Beyond dedicated clinics, 66 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Melrose. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 6 offer telehealth.
Gerald Jaworski, MD
Family medicine · 2282 Northwest Troost Street, Roseburg
Rodney Todd, MD
Family medicine · 2282 Northwest Troost Street, Roseburg
Sarah Agsten, DO
Family medicine · 2508 Northwest Medical Park Drive, Roseburg
Donald Wonderly, MD
OB-GYN · 2460 Northwest Stewart Parkway, Roseburg
Sandesh Pandit, MD
Family medicine · 277 Northwest Medical Loop, Roseburg
Diane Bolduc, MD Telehealth
Family medicine · 340 Medical Loop, Roseburg
These are registry-listed clinicians, not dedicated STD-testing clinics. CMS records do not independently verify current licensure, testing services, availability, price, or new-patient status. Confirm each detail before booking. Source: CMS Doctors & Clinicians.
Nearby pharmacies
No pharmacy near Melrose, OR publishes an STD-related service or holds a current CLIA testing certificate, so these are simply the closest. Contact a location directly to confirm counter hours, services, prices, and availability before visiting.
4.5 mi Mercy Services
4.5 mi
4.5 mi Fred Meyer Pharmacy
4.7 miMedical Park Pharmacy
5.1 miHometown Drugs
5.1 miShowing the 6 closest pharmacies to Melrose, OR.
Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.
Prevention & treatment
Testing is one step. For residents of Melrose, telehealth covers the rest: HIV-prevention medication (PrEP) and DoxyPEP to lower future risk, and discreet online treatment if a result comes back positive. All prescribed by licensed U.S. clinicians.
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
Pricing varies by insurance and changes often, confirm on the provider's site. These services are not a substitute for emergency care.
STD stats & rates
How reported STI rates in Douglas County, the county that includes Melrose, compare with Oregon and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~18% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#24 of 36 Oregon counties for chlamydia, a higher rate than 33% of the state
| Infection | Douglas County | Oregon | United States |
|---|---|---|---|
| Chlamydia | 189.4 213 cases ▼ 48% | 362.5 | 492.2 |
| Gonorrhea | 24 27 cases ▼ 80% | 117.2 | 179.5 |
| Syphilis (P&S) | 13.3 15 cases ▼ 31% | 19.2 | 15.8 |
| Syphilis (early) | 7.1 8 cases ▼ 26% | 9.6 | 16 |
| Syphilis (late/unknown) | 13.3 15 cases ▼ 32% | 19.7 | 29.5 |
Rates per 100,000 population, 2023. Source: CDC NCHHSTP AtlasPlus (county, state & U.S., all-ages basis). Population figures: U.S. Census Bureau ACS. These figures are the latest available surveillance estimates. Bars are scaled to the highest rate shown.
Reading these numbers: reported case rates only count infections that were actually tested for and diagnosed, so they track local screening effort as much as true spread: a higher rate can reflect more testing, a lower one less. Either way, most STIs cause no symptoms, so treat the figures above as context rather than a verdict, and test on the CDC's schedule regardless of how your area looks.
Between 2020 and 2023 in Douglas County, chlamydia has fallen from 214 to 189.4 per 100,000 (11%), gonorrhea has fallen from 43.2 to 24 per 100,000 (44%), and P&S syphilis has risen from 0.9 to 13.3 per 100,000 (1378%).
The 2020 dip reflects reduced pandemic-era screening, not lower transmission. Source: CDC NCHHSTP AtlasPlus (county, state & U.S., all-ages basis).
Community health context
Sources: CDC PLACES (ZIP), County Health Rankings, CDC/ATSDR SVI, HRSA HPSA, HRSA MUA/P, Neighborhood Atlas ADI. Lower insurance coverage, fewer routine checkups, and a thin primary-care ratio all raise the value of low-cost public clinics and at-home testing in Douglas County.
Local HIV snapshot
Douglas County HIV care continuum (2023)
Douglas County recorded 6.2 new HIV diagnoses per 100,000 (2023), against 6.6 statewide and 13.7 nationally. Among Douglas County residents living with HIV, 84.3% are in care · 73% are virally suppressed. Early, routine testing is what moves these numbers: it is the entry point to PrEP, treatment, and viral suppression.
Sources: AIDSVu (Emory/Gilead) · CDC AHEAD · CDC AtlasPlus · CDC NCHHSTP AtlasPlus (county care continuum). The CDC recommends everyone aged 13–64 test for HIV at least once: every lab and clinic listed above offers HIV testing, and free rapid HIV testing is available at a local health department.
Congenital syphilis, passed from parent to baby in pregnancy, is the fastest-rising STI in the country. U.S. cases climbed from 2,163 in 2020 to 3,882 in 2023. It is almost entirely preventable: the CDC recommends a syphilis test at the first prenatal visit, and every clinic and lab listed for Douglas County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Melrose draws people who want proximity to the Umpqua River and its recreation without the crush of a larger city. That same appeal (outdoor access, quieter pace, a genuine sense of place) means many young adults have settled here, some newly, others long enough to build roots. For this age group, confidential sexual health screening is straightforward medical care, not something to navigate around gossip or judgment. Testing services available in and around Melrose support that straightforwardness.
Clinics listed on this page handle screening with the same clinical professionalism you'd expect anywhere, and results remain between you and your provider: there's no backdoor notification to family, employers, or community figures. The confidentiality isn't a special accommodation; it's how modern medical practice works. Whether you're checking in before a new relationship, following up after an exposure, or making routine screening part of your annual health rhythm, the providers in this area understand that young adults in Melrose need the same reliable, discreet access to testing that exists in any town. Your medical history stays private, and the process itself is quick enough to fit into an actual life.
Getting there
At 8.79/20 on the EPA walkability index, day-to-day errands in Melrose generally mean driving: plan on a car or rideshare to reach a clinic, and check each listing's hours and phone before you go.
Source: EPA National Walkability Index 2021.
ZIP 97471 snapshot
ZIP-level Census figures for the wider 97471 area around Melrose: a single ZIP can span several communities, so they describe the area, not Melrose alone.
Melrose sits in Douglas County, ZIP 97471. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Melrose? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
Reference
Everything to know before you test in Douglas County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Oregon law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.
Based on current CDC screening recommendations.
| Group | Tests | How often |
|---|---|---|
| Everyone aged 13–64 | HIV | At least once |
| Sexually active women under 25 | Chlamydia, gonorrhea | Every year |
| Women 25+ with new or multiple partners | Chlamydia, gonorrhea | Every year |
| Pregnant people | HIV, syphilis, hepatitis B & C, chlamydia | Early in pregnancy |
| Gay & bisexual men (MSM) | Chlamydia, gonorrhea, syphilis, HIV | Every 3–6 months |
| Anyone who shares injection equipment | HIV, hepatitis B & C | At least yearly |
| All adults at least once | Hepatitis C | At least once |
Testing too early can return a false negative, confirm timing with a Melrose-area provider.
| Infection | Earliest reliable test | Sample |
|---|---|---|
| Chlamydia | 1–2 weeks | Urine or swab |
| Gonorrhea | 1–2 weeks | Urine or swab |
| Trichomoniasis | 1–4 weeks | Urine or swab |
| HIV (NAT / RNA) | 10–33 days | Blood |
| HIV (4th-gen Ag/Ab) | 18–45 days | Blood |
| HIV (antibody) | 3–12 weeks | Blood / oral |
| Syphilis | 3–6 weeks | Blood |
| Hepatitis B | 3–6 weeks | Blood |
| Hepatitis C | 8–11 weeks | Blood |
| Herpes (HSV) | 4–16 weeks (antibody); swab a sore | Blood / swab |
These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Melrose often test free or on a sliding scale; private labs and at-home kits bundle several tests into one fee. Use this as a per-test benchmark before you pay out of pocket, or see the full guide to STD test costs for insurance, free, and at-home options.
| Test | Reference price | CPT / HCPCS |
|---|---|---|
| Chlamydia (NAAT) | $47.80 | 87491 |
| Gonorrhea (NAAT) | $47.80 | 87591 |
| Trichomoniasis (NAAT) | $47.76 | 87661 |
| HIV-1/2 antigen/antibody | $26.87 | 87389 |
| HIV-1/2 antibody | $22.44 | 86703 |
| Syphilis (RPR/VDRL) | $5.61 | 86592 |
| Syphilis (treponemal antibody) | $17.49 | 86780 |
| Herpes (HSV NAAT) | $47.76 | 87529 |
| Hepatitis B surface antigen | $15.33 | 87340 |
| Hepatitis C antibody | $29.16 | 86803 |
Source: Medicare Clinical Laboratory Fee Schedule, CMS, 2025 rates (data.cms.gov). Reference rate for the lab assay only: a clinic visit, sample collection, or a bundled multi-test panel may cost more. Medicaid and most insurers cover STD screening at no out-of-pocket cost.
Two things that actually depend on Oregon law: who can consent, and whether partners can be treated without their own visit. Everything else about testing privately is the same nationwide (see below).
In Oregon, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Oregon permits Expedited Partner Therapy (EPT): if you test positive for chlamydia or gonorrhea, your provider can give you medication (or a prescription) to pass to your partner, no separate exam or appointment needed for them.
Keeping a test private works the same in every state. Whether an STD test shows on insurance (the EOB), how to test anonymously, and self-pay options that leave no insurance trail don’t change by location.
Learn more about confidential STD testing in OregonSource: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.
Good to Know
Answers to the questions people ask most before getting tested.
Possibly, Roseburg, OR is close; compare it by distance against Aviva Outpatient Behavioral Health.
Public clinics are free; private labs ~$24–$139, at-home kits $49+.
Yes, HIV Alliance (4.7 mi) offers free testing, and public clinics serve the uninsured.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 189 cases per 100,000 residents (2023), below the Oregon average.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In Oregon, people under 18 can consent to confidential STD testing and treatment on their own.
Community health centers and family-planning clinics serve all patients, and many offer LGBTQ-affirming care, ask the site directly.
That's a myth; STIs need sexual contact to spread, not surfaces.
Public health clinics, family-planning clinics, and many school or campus health centers test teens and young adults, often free.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.