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  • Let's Get You PrEP'd and Doxy Ready!

    Let's Get You PrEP'd and Doxy Ready!

    Please complete the form and a PrEP Nevigator will contact you.
  • Thank You for Your Interest in PrEP!
    We’re glad you’re taking this important step to protect your health.
    A PrEP Navigator will contact you soon to help you get started and guide you through the process.

    Please complete the form below to begin.

  • Please Read Before Continuing with the Referral

    PrEP Program Information

    To stay on PrEP, you’ll need regular check-ins with our clinic team. This includes:

    • A lab appointment to complete required tests.
    • A provider visit (usually scheduled after your lab results).

    Your PrEP medication will be prescribed during your provider visit.

    Clinic appointments are available on select weekdays during regular business hours.
    Please note that availability may vary and the clinic is closed on weekends and holidays.

  • What is PrEP?
    Pre-Exposure Prophylaxis (PrEP) is a safe and effective way to prevent HIV before exposure.

    PrEP comes in three forms:

    •  Daily Pill – Taken every day and up to 99% effective in preventing HIV.
    •  Injectable PrEP (Every 2 Months) – An injection that provides continuous protection without needing to take a daily pill.
    •  Injectable PrEP (Every 6 Months) – A newer long-acting option that offers protection with just two shots per year.

    PrEP is for people who are HIV-negative and want to take control of their sexual health.

    We offer Doxy PEP, which can be discussed during your appointment with the provider.

     

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  • Please provide a clear picture or upload your Health Insurance

    Prior to scheduling, your insurance would need to be verified.

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  • If you don't have Health insurance please answer the following questions

  • Please provide a clear picture of your Government-issued photo ID (driver’s license, state ID, passport)

  • Participant Agreement

    By signing below, I understand and agree to the following:

    • I will complete all required lab tests.
    • I will attend my follow-up appointment with the PrEP provider after my lab work is done.
    • I will take my PrEP medication as prescribed — whether by daily pill or injection.
    • If I am on injectable PrEP, I will come to the clinic for my scheduled injection appointments to stay protected.
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  • Consent and Authorization
    By signing below, I give permission to be contacted about my PrEP care and management.
    I also authorize my PrEP Navigator to complete PrEP assistance applications and sign related consent forms on my behalf if needed to help me access medication or services.

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