Good public clinics in the US provide perfunctory pretest counseling on first intake to the clinic, not on subsequent testing. Someone other than the clinician often provides the counseling. Small clinics serving specific groups, such as LGBT, often skip pretest counseling as they lack the time and funding. This article attempts to describe sexual health clinics for its readers in English speaking regions, not just the US, and attempts to provide some use to readers of en.wikipedia in other regions. (see Nigeria above)