East Bay Provider Mailing

If you are a HIV provider in the East Bay and interested in other networking opportunities, please complete information below:

Your Name (required)

Your Email (required)

Your Discipline (required)
 Physician Mid-level clinician (NP or PA) Nurse Professional Dental Professional Pharmacist Mental/Behavioral Health Professional Health Educator Public Health Worker Community Health Worker Other Non-Clinical Professional

Your Worksite

Select the Group/s You are Interested in:
 East Bay HIV Providers Network East Bay Linkage and Retention Network East Bay HIV Testing Network


1. Are you currently providing direct care to patients with HIV?  yes no

2. What aspects of care? (select all that apply)
 HIV testing and linkage to Pre-exposure prophylaxis Urgent care coverage Mental health services Longitudinal primary care Other

3. Do you provide care for clients/patients taking HIV pre-exposure prophylaxis?  yes no

4. If not, do you have plans to provide direct care to patients with HIV?  yes no

Your Message