Get Help Finding, Starting, or Staying on PrEP!
Please provide the following basic information and a member of our team will reach out with next steps to connect you to PrEP care in Arkansas.
First and Last Name
Are you able to receive text messages at this phone number?
Please provide your address to help us understand what area of the state you live in. When we receive your request, we will do our best to connect you to a community partner offering PrEP services in your local community.
Street Address Line 2
State / Province
Postal / Zip Code
How long has it been since your last HIV test?
Less than 1 month
More than 12 months
I have never been tested
Which best describes your knowledge or use of PrEP (Pre-Exposure Prophylaxis?
I do not know about PrEP.
I have taken PrEP sometimes.
I have taken on-demand PrEP around sexual activity.
I have heard of PrEP, but never taken it.
I used to take PrEP once a day as prescribed.
I was taking PrEP, but am not now.
How did you learn about PrEPared for Life?
Google or Online Search
Radio or Podcast
Facebook Ad or Post
Brochure or Printed Material
Referred by a friend
Referred by a case manager or health worker
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