Request Additional PrEP Information

If you have symptoms of an urgent nature, please call your doctor or go to the nearest emergency room immediately.

This is a secure form, and the information you provide will enable us to assist you as efficiently as possible. Please provide the following information and our PrEP Navigator will reach out to provide additional information, answer questions and offer linkage to PrEP care. A Drexel Medicine PrEP Navigator will call the patient/contact person within 2 business days, between 8:00 a.m. and 5:00 p.m. (ET), Monday-Friday.

For faster assistance, please call 267.507.6744 or call/text 267.872.3811.

* Denotes required field.

Note: With this form, you are submitting a request for an appointment. You are not scheduling an appointment. A representative will contact you to help you schedule an appointment.