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Get the free Health4Me Post-Exposure Prophylaxis (PEP) application form

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Health4Me PostExposure Prophylaxis (PEP) application form Important notes: Please submit the completed and signed form via fax to 0860 77 77 56, or via email to health4mehiv@momentum.co.za. For assistance
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How to fill out health4me post-exposure prophylaxis pep

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How to fill out health4me post-exposure prophylaxis pep

01
Contact a healthcare provider immediately after a possible exposure
02
Discuss the risk of transmission and the need for PEP
03
Fill out the necessary paperwork, including personal information and details of the exposure
04
Follow the recommended PEP regimen as prescribed by the healthcare provider
05
Attend follow-up appointments as scheduled

Who needs health4me post-exposure prophylaxis pep?

01
Healthcare workers who have been exposed to potentially infectious materials
02
Sexual assault survivors
03
Individuals who have unsafe needle practices or injection drug use
04
Individuals who have been exposed to HIV through unprotected sex or needle sharing
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Health4me post-exposure prophylaxis (PEP) is a preventive treatment for people who have been exposed to a potentially infectious agent.
Healthcare providers are required to file health4me post-exposure prophylaxis (PEP) for their patients who have been exposed to a potentially infectious agent.
Healthcare providers should fill out the health4me post-exposure prophylaxis (PEP) form with all relevant information about the patient's exposure and treatment.
The purpose of health4me post-exposure prophylaxis (PEP) is to prevent the development of infection in individuals who have been exposed to a potentially infectious agent.
The health4me post-exposure prophylaxis (PEP) form should include information about the patient, the exposure incident, the treatment provided, and follow-up care.
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