HIV Testing and Care Appointment Request

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If you are having a medical emergency, please call 911 or go to the nearest emergency room.

To request an appointment, please fill out the secure online form below and someone will contact you as soon as possible to schedule your appointment. This appointment request is NOT monitored 24/7.

Tulane Doctors - Total Health Clinic@ Ruth Fertel Tulane Community Health Center

HIV Testing & Care
Request an Appointment

To make an appointment, call 504-988-3002, or simply complete the form below and we will contact you at the number you provide.

What to bring to your appointment

Proof of Residency
Income and/or Insurance Documents (note that you don't need insurance)
Proof of HIV Status and Most Recent Labs (if available)
List of any Current Medications
List of any Questions You Might Have

Requestor Last Name

Requester First Name

Patient Last Name

Patient First Name

Patient Age

How You Heard About Us

Has Insurance

Best Daytime Phone Number

Secondary Phone Number

Address

City

State

Postal Code

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If you are having a medical emergency, please call 911 or go to the nearest emergency room.

Tulane Doctors - Total Health Clinic@ Ruth Fertel Tulane Community Health Center

HIV Testing & Care Request an Appointment

HIV Testing & Care
Request an Appointment