Confidential HIV Testing
Confidential HIV counseling and testing is offered to people who are considered to be in high-risk groups. These include people diagnosed with gonorrhea and syphilis; gay, bisexual and transgender men; and injection drug users. People that meet Family Pact eligibility requirements and enroll in the program can also be tested for HIV at City Clinic. Prior to having your blood drawn, you will have to undergo STD/HIV risk assessment counseling with a City Clinic health worker or clinician.

After having your blood drawn, you will be assigned a confidential HIV testing number, which will be attached to your return appointment card. HIV test result appointments are available within 10 working days. At this appointment, a certified counselor will give you your test results and you will be offered HIV disclosure counseling.

HIV Early Care
City Clinic offers expert HIV care and nutritional counseling with specially-trained clinicians. In addition, experienced social workers are available to help with a wide variety of practical needs including housing, benefits, etc.

• Thursdays 8am - 11am, by appointment only. Call 415-487-5500.

HIV Partner Counseling and Referral Services (PCRS)
This is a voluntary program for people who test positive for HIV, to help locate and notify past or current sex partners regarding their possible exposure to HIV. Counselors are available during the following hours:

• Monday, Wednesday, Thursday, Friday 8:00am - 4:00pm
• Tuesday 1:00pm - 6:00pm

Call 415-554-9085 for 24-hour confidential information and to leave a message for a counselor in order to schedule an appointment for these services.

Post-Exposure Prevention (PEP)
PEP is a 28-day course of treatment believed to be effective in preventing an infection with HIV. At City Clinic, we offer expert evaluation within 72 hours of a possible exposure to HIV. It is important to come in as soon as possible after you think you have been exposed. You can call (415) 487-5538 to discuss your situation with a counselor before coming to the clinic for services. Once you arrive at the clinic, you will meet with a clinician who will evaluate whether PEP is appropriate for you and if so, will discuss which medications are used. You will also receive counseling from a trained PEP counselor, get tested for HIV and STDs, and receive a schedule for follow-up appointments at 1 month and 3 months. A full course of PEP is 28 days of medication.

Please note that City Clinic cannot provide a full course (28 days) of PEP medications for any patient.  Because it is important not to delay starting the medications, if a City Clinic clinician recommends that you take PEP you will be given 2 days worth of medication in clinic to start right away with a prescription for the remaining doses. PEP counseling staff will then work with you to discuss best options for obtaining the rest of the medications. San Francisco residents who meet income eligibility requirements have some options for obtaining these medications at low cost. For those with health insurance, many plans will cover the cost of the medications. Call 415-487-5538 to discuss your eligibility.

Clinic walk-in hours for PEP services are:

• Monday, Wednesday, Friday 8:00am - 4:00pm
• Tuesday 1:00pm - 5:00pm
• Thursday 1:00pm - 3:00pm

For more information concerning post-exposure prevention, click to UCSF's HIVINsite.org and search for PEP.

Pre-Exposure Prevention (PrEP)
PrEP is a new HIV prevention method that involves HIV negative people taking anti-HIV medications daily to help prevent HIV infection. Several studies have shown that PrEP can reduce the risk of becoming HIV-infected when taken as part of a package of prevention services.

Clinic Clinic is offering PrEP through a demonstration project. The Demo Project will provide important information about how PrEP can be used as an HIV prevention method in our community. Call 415-487-5537 to schedule a screening appointment.

For more information concerning pre-exposure prevention, click here.