Tools & Downloads
This section includes ready-to-use tools and downloadable resources to help pharmacies and clinicians implement, deliver, and sustain PrEP and PEP services with confidence.
1. Program Setup & Readiness
Startup Requirements Summary (CLIA, training, space, staffing)
Sample Implementation Timeline (30–60–90 day launch plan)
2. Patient Intake, Screening & Eligibility
Patient Intake Questionnaire
Acute HIV Symptom Checklist
Special Populations Quick Guide (pregnancy, adolescents, substance use, housing instability)
3. HIV Testing & CLIA-Waived Operations
CLIA Waiver Application Walkthrough (step-by-step)
CLIA-Waived HIV Testing SOP
Sample HIV Test Documentation Template
Positive HIV Result Reporting Guide
4. PrEP & PEP Clinical Care Tools
PrEP Counseling Script
Medication Comparison Table (oral daily, on-demand, injectable)
Furnishing Checklist (SB 159 / SB 339 aligned)
Sample PrEP Prescription Template
Injectable PrEP Referral Pathway
5. Billing, Coverage & Financial Navigation
“How Patients Pay for PrEP & PEP” Flowchart
Medi-Cal Billing Quick Guide for Pharmacists
CLIA HIV Testing Billing Overview
PrEP-AP Eligibility & Enrollment Guide
PrEP-AP Temporary Coverage Enrollment Site Checklist
Copay & Manufacturer Assistance Cheat Sheet
Sample Financial Counseling Script
6. Patient-Facing Materials
PrEP Service Posters
Pocket Cards / Bag Stuffers
“We Offer HIV Prevention Here” Counter Sign
7. Templates & Documentation
Patient PrEP Agreement Form
Visit Summary Template (patient + PCP copy)
PCP Notification Letter
Referral Form to External Providers
Program Tracking Log (screening, testing, initiation)
