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Clinician Inquiry Form

We support inquiries from clinicians in the following disciplines: MD, NP, PA, RN, PharmD or DDS and this form is not intended for patient or consumer inquiry.
Please be aware it may take up to 72 hours to respond to your inquiry.

CEI provides this online form for clinicians in New York State to discuss PEP, PrEP, HIV, HCV and STD management with a specialist.

    • Yes
    • No
    • HIV PEP
    • HIV PrEP
    • HIV
    • HCV
    • STD
  • (Please refrain from using any patient identifier or protected health information)