Syphilis reports in Denton County are roughly 91% lower than American averages. Whether you're seeking a one-time check or regular STI screening in Paloma Creek, Texas, you can weigh free or low-cost community and public clinics against private labs with quicker results and more flexible scheduling. The options are listed below.
Available testing centers
9 testing options are listed for Paloma Creek, TX. The nearest, Healing Hands Ministries Women's Health Center, is about 5.1 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.
Healing Hands Ministries Women's Health Center in Frisco meets patients (those paying cash, between providers, or working with a tight budget) exactly where they are. Federal qualification means fees slide with income, and walk-ins can access screening for syphilis, gonorrhea, and chlamydia without scheduling ahead.
Tests offered
Fees & payment
Texas Health Family Care in The Colony accepts Medicaid, Medicare, and most insurance, with sliding-scale fees extending to everyone else, and its panel reaches beyond gonorrhea, chlamydia, syphilis, and HIV to include hepatitis B, hepatitis C, and TB, all requiring an appointment.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN
Health Services of North Texas in Denton requires an appointment, so scheduling ahead unlocks the full visit: rapid HIV testing, gonorrhea, chlamydia, syphilis, hepatitis B and C, and TB, with same-visit treatment for bacterial infections, on a sliding-scale fee open to everyone. Care is delivered in Spanish.
When a clinic can't conduct a full clinical conversation in Spanish, patients leave with incomplete instructions, misunderstood dosing, or a follow-up they never book. At Health Services of North Spanish-language care runs through the entire visit (history, results, and treatment) so nothing critical gets lost between languages.
Health Services of North Texas prescribes and monitors PrEP on-site: meaning the baseline HIV test, the follow-up labs at 90-day intervals, and the prescription itself are handled by the same clinical team. PEP is also available, managed through the clinic's HIV/AIDS medical treatment program rather than routed externally.
Many clinics test for hepatitis C and stop there, leaving patients to locate a specialist for the treatment phase. Health Services of North Texas carries hepatitis C through to on-site treatment, so a positive antibody result doesn't begin a separate search. The care continues in the same building with the same team.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN
Denton County Health Department in Denton schedules appointments for testing across HIV, syphilis, gonorrhea, chlamydia, and herpes, treating bacterial infections the same visit and covering HPV, hepatitis A, and mpox vaccines. All on a sliding scale, with services available at no fee.
For anyone paying out of pocket (no employer coverage, no regular provider, no safety net) the math here is straightforward: every service the clinic offers carries no charge. Testing, treatment, and vaccines are all included, with no portion left as a balance.
Plenty of clinics handle Spanish-speaking patients through improvised solutions that keep the clinical conversation at arm's length. Denton County Health Department delivers care directly in Spanish, so the conversation about symptoms, treatment, and prevention happens in full. Not filtered.
The routine panel at many STI clinics covers HIV, syphilis, gonorrhea, and chlamydia, and stops there. Denton County Health Department adds herpes to its testing menu, making it one of the few public-health options where you don't have to seek that test separately.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jun 2026 · Source: CDC NPIN
HSNT Denton South Center in Denton welcomes walk-ins for STI screening without an appointment. Federally qualified status anchors its sliding-scale fee structure, so costs adjust to income. A single visit can cover syphilis, gonorrhea, and chlamydia testing, making same-day care straightforward for anyone who walks through the door.
Tests offered
Fees & payment
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 5 miles away; if you'd rather skip the trip, an at-home kit ships to Paloma Creek, 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 value: single tests
$49 & up
Best for simplicity & support
$89 & 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 Denton 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.
26791 US Highway 380 East Suite 100, Aubrey, TX 76227
CMS-certified lab Accredited · COLA
9205 Legacy Drive, Frisco, TX 75033
CMS-certified lab Accredited · COLA
391 US 377, Argyle, TX 76226
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Paloma Creek. 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, 2,909 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Paloma Creek. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 1,078 offer telehealth.
Ayuk Makia, MD Telehealth
Family medicine · 26791 US Hwy 380 East, Aubrey
Sarah Kent, MD Telehealth
Family medicine · 26635 US Hwy 380 East, Providence Village
Khalida Yasmin, MD Telehealth
Family medicine · 2601 Little Elm Parkway, Little Elm
Smitha Pati, MD Telehealth
Family medicine · 26875 US Hwy 380 East, Aubrey
Trevor Huber, DO Telehealth
Family medicine · 2700 East Eldorado Parkway, Little Elm
Heather Bartos, MD
OB-GYN · 8700 US Hwy 380, Crossroads
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 Paloma Creek, TX 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.
Crown Pharmacy
0.3 miSavannah Pharmacy
0.3 mi
0.4 mi 
1.7 mi 
2.4 mi 
3.2 mi Showing the 6 closest pharmacies to Paloma Creek, TX.
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 Paloma Creek, 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
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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 Denton County, the county that includes Paloma Creek, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~37% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#122 of 254 Texas counties for chlamydia, a higher rate than 52% of the state
| Infection | Denton County | Texas | United States |
|---|---|---|---|
| Chlamydia | 304.2 3,065 cases ▼ 38% | 491.9 | 492.2 |
| Gonorrhea | 105.2 1,060 cases ▼ 40% | 176.4 | 179.5 |
| Syphilis (P&S) | 1.4 14 cases ▼ 91% | 15 | 15.8 |
| Syphilis (early) | 9.7 98 cases ▼ 63% | 26.4 | 16 |
| Syphilis (late/unknown) | 28.6 288 cases ▼ 35% | 44.3 | 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 Denton County, chlamydia has risen from 234.1 to 304.2 per 100,000 (30%), gonorrhea has risen from 93 to 105.2 per 100,000 (13%), and P&S syphilis has fallen from 4.2 to 1.4 per 100,000 (67%).
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 Denton County.
Local HIV snapshot
Denton County HIV care continuum (2023)
Denton County recorded 11.3 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Denton County residents living with HIV, 82.9% are in care · 73.8% 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 Denton County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
West University Drive threads through a community built around ownership: the majority of households here hold title to their homes, and a notable share earn well into six figures. That stability shapes daily life in Paloma Creek, but it doesn't insulate everyone equally: renters navigating monthly costs well above $1,800 and the roughly one-in-twenty residents currently between jobs face real budget constraints that can quietly make a lab fee feel lower priority than it deserves to be. The community also skews toward large, married households with children.
Paloma Creek Park and the neighborhood playgrounds reflect that family-forward character. Yet a substantial portion of residents are young adults in their late teens and twenties, the years when STI transmission peaks and when a missed or delayed test carries the most consequence.
Getting there
At 3.07/20 on the EPA walkability index, day-to-day errands in Paloma Creek 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 76227 snapshot
ZIP-level Census figures for the wider 76227 area around Paloma Creek: a single ZIP can span several communities, so they describe the area, not Paloma Creek alone.
Paloma Creek sits in Denton County, ZIP 76227. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Paloma Creek? 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 Denton County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Texas 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 Paloma Creek-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 Paloma Creek 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 Texas 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 Texas, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Texas 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 TexasSource: 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, Little Elm, TX is close; compare it by distance against Healing Hands Ministries Women's Health Center.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
Yes, Denton County Health Department (9 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 304 cases per 100,000 residents (2023), below the Texas average.
Yes, at-home kits ship to 76227; you collect a sample, mail it back, and get results in about 2–5 days.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In Texas, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, partners should test and be treated together to avoid passing it back and forth.
Start treatment, tell recent partners so they can test, avoid sex until cleared, and retest if advised, most STIs resolve with care.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.