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

Questions:

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