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14B. White Guamanian or Chamorro Samoan Other Pacific Islander CONSENT TO CONTACT Please do not contact me by phone. Do you identify as transgender 11A. If yes Male-to-Female MTF 12. Number of legal dependents Yes No Female-to-Male FTM Pg 3 13. 2714 ext. 3737 REMEMBER TO Attach proof of Massachusetts residence Include a copy of your health insurance card s Completely fill out Sections 1 2 3 5 6 and 7 of your PrEPDAP application Have your provider fill out Section 4 of your PrEPDAP application...
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How to fill out pre-exposure prophylaxis
How to fill out pre-exposure prophylaxis
01
Step 1: Schedule an appointment with a healthcare provider who can prescribe pre-exposure prophylaxis (PrEP).
02
Step 2: Discuss your risk factors and medical history with the healthcare provider to determine if PrEP is suitable for you.
03
Step 3: If it is determined that you are a good candidate for PrEP, the healthcare provider will prescribe the medication.
04
Step 4: Follow the prescribed dosage instructions provided by the healthcare provider.
05
Step 5: Take the medication daily as directed, preferably at the same time each day.
06
Step 6: Visit the healthcare provider regularly for follow-up appointments and monitoring of your PrEP regimen.
07
Step 7: Continue taking PrEP as long as you are at risk for HIV infection.
Who needs pre-exposure prophylaxis?
01
Individuals who are at high risk of contracting HIV may benefit from pre-exposure prophylaxis (PrEP). This includes:
02
- Men who have sex with men and are sexually active
03
- Individuals who engage in unprotected sex with partners of unknown HIV status
04
- Individuals who have a partner with HIV
05
- People who use injection drugs and share needles
06
- Individuals who have been diagnosed with a sexually transmitted infection (STI)
07
- Sex workers or individuals in high-risk professions
08
It is important to consult with a healthcare provider to determine if PrEP is appropriate for your specific situation.
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What is pre-exposure prophylaxis?
Pre-exposure prophylaxis (PrEP) is a medication taken by HIV-negative individuals to reduce the risk of contracting HIV.
Who is required to file pre-exposure prophylaxis?
Individuals who are at high risk for HIV infection are recommended to consider taking pre-exposure prophylaxis.
How to fill out pre-exposure prophylaxis?
To fill out pre-exposure prophylaxis, individuals should consult with a healthcare provider who can prescribe the medication and provide guidance on proper usage.
What is the purpose of pre-exposure prophylaxis?
The purpose of pre-exposure prophylaxis is to prevent HIV infection in individuals who are at high risk of exposure to the virus.
What information must be reported on pre-exposure prophylaxis?
Information such as medical history, current medications, HIV status, and risk factors for HIV infection may need to be reported when considering pre-exposure prophylaxis.
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