Thank you for your interest in signing up for the PrEP Program at Asian & Pacific Islander Wellness Center. All information entered here will remain STRICTLY CONFIDENTIAL

What is this?
This is a program meeting once a week, that guides folks through the process of getting on PrEP We will be:
  • Going through the basics of what PrEP is, including specific information about clinical trials and hormone interaction.
  • Making your appointments for you
  • Working with you 1-on-1 on how to pay for PrEP once you get your prescription, and generally how to get it for FREE!
  • Teaching you how to refill your prescription
  • Providing a full dinner every night!
  • Giving you $50 of gift cards
  • ...there for you every step of the way, and then some!

Who is this for?
Young Queer Men of Color (including Trans Men)
AND
Trans Women

Where is it?
Downtown SF (TBD)

When is it?
Young Queer Men of Color
February 2nd, 9th, 16th, & 23rd (Tuesdays)
6:00p - 7:30p

Trans Women
February 3rd, 10th, 17th, & 24th (Wednesdays)
6:00p - 7:30p


Spaces are EXTREMELY LIMITED, so sign up soon! If you cannot make these dates/times, feel free to still fill this out and you will be given information about our next session

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* 1. Name

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* 2. Zip Code

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* 3. Email Address

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* 4. Phone

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* 5. Are you a...

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* 6. Age

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* 7. Are you of Hispanic or Latino origin or descent?

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* 8. Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian or other Pacific islander, or some other race?

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* 9. Can you attend all 4 February sessions?

(if you are a young queer man of color, your sessions are on Tuesdays)
(if you are a trans woman, your sessions are on Wednesdays)

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* 10. Anything you'd like to let us know? (dietary restrictions, something you want covered specifically, questions, etc.)

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