The forms listed here are for our currently enrolled patients. Please contact us if you have any questions or need assistance. Not yet enrolled? Click here to get started.

Apply For PrEP DAP

Apply for additional PrEP coverage through the Washington State Department of Health’s drug assistance program, PrEP DAP. Our partners at the DOH have created this program to decrease barriers to your care. Renewal is required once yearly. Apply below.

PrEP DAP

Apply for Gilead PAP/Copay Card

The manufacturer of both Truvada® and Descovy®, Gilead, also offers patient assistance. Our team will help you navigate this service and keep track of the variable renewal timelines. Follow the links below to apply and learn more.

Gilead Assistance
Financial Attestation Form

REMS Medication Acknowledgment

Patient safety is our priority. Follow the link to acknowledge your understanding of beginning PrEP.

REMS Form

HIPAA Authorization

We need your permission to communicate with your other medical providers. Follow the link to let us be a part of your healthcare team

HIPAA Form