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1Basic Details
2Personal Details
3Health History
4Insurance
5Plan
Personal Details

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Welcome to HerMister! Let's get started by collecting a few basic details.


HerMister is a secure telehealth platform that connects you with licensed healthcare providers from the comfort of your home. Before continuing, please review our Telehealth Consent Policy to understand how telehealth services are provided and what you can expect during your care.


All information you provide is secure, confidential, and protected. It will only be used to verify your identity, assess your eligibility, and provide appropriate medical care in accordance with applicable privacy laws.

Review Your Information
Sex Assigned at Birth:
Gender Identity:
Date of Birth:
Height:
Weight:

Great, then you already know PrEP is 99% effective when used daily. PrEP reduces, but does not eliminate the chance of acquiring HIV. PrEP does not prevent pregnancy, and PrEP does not prevent other sexually transmitted diseases.

OK, well PrEP is 99% effective when used daily. PrEP reduces, but does not eliminate the chance of acquiring HIV. PrEP does not prevent pregnancy, and PrEP does not prevent other sexually transmitted diseases.

Health Questionnaire

Please answer the following questions honestly, so that our healthcare providers can ensure PrEP is a good fit for you. All information you provide will be kept confidential and only used to determine the appropriate course of care for you.

If you were exposed to HIV through unprotected sex and/or direct blood contact, taking PEP within 72-hours of exposure can greatly reduce the likelihood of contracting HIV. Please proceed to an emergency room immediately, even if you do not have insurance. Unfortunately, due to the limitations with delivery, we’re unable to assist you given the limited timeframe.

Lifestyle & Supplements:
DOXY-PEP Screening:

Doxy-PEP is a preventive treatment that uses a 200 mg dose of doxycycline after potential exposure to certain sexually transmitted infections (STIs). When taken within 24 to 72 hours after condomless sex, research suggests it may significantly reduce the risk of bacterial STIs, including syphilis, chlamydia, and gonorrhea.

Doxy-PEP is a preventive antibiotic treatment that may help lower the risk of certain bacterial sexually transmitted infections (STIs), including syphilis, chlamydia, and gonorrhea. When prescribed, it should be taken as directed by your healthcare provider, ideally within 24 to 72 hours after condomless sex or another potential exposure.

Doxy-PEP is not appropriate for everyone. Your HerMister provider will review your medical history, current medications, and overall health to determine whether it's a safe and suitable option for you.

Doxy-PEP is a preventive medication used after potential exposure to help reduce the risk of certain bacterial STIs. It is intended for prevention only and should not be used as a treatment for an active STI. If you develop symptoms or believe you have an STI, please consult your healthcare provider.

Doxy-PEP is available only to eligible patients who are prescribed PrEP or HIV treatment through HerMister. If approved, your Doxy-PEP prescription will be provided along with your prescribed treatment plan.

Insurance

To help make your care as affordable as possible, we'll review your insurance benefits for eligible services and medications. Most patients have little to no out-of-pocket costs, depending on their coverage.

If you don't have insurance or your plan has limited coverage, our team will determine whether you qualify for available patient assistance programs. We'll guide you through the process and handle the necessary paperwork whenever possible.

Please Note: HerMister telehealth services are provided at no cost to eligible patients. If and when applicable, insurance may be used to help cover medication and laboratory expenses. Coverage varies by insurance provider, and some plans may not be accepted.

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Patient Assistance Program

At HerMister, we understand that medication costs can be a concern. Our Patient Assistance Program helps eligible patients access prescribed medications at a reduced cost or, in some cases, at no cost.

To determine your eligibility, please answer the following questions. Your information is confidential and will only be used to evaluate available assistance programs. No credit checks are performed.

This version is professional, doesn't mention any insurance company, drug manufacturer, or co-pay program, and is appropriate for a healthcare platform like HerMister.

If you are not a permanent resident of the United States or do not have a Social Security Number, please enter 0000.
This assistance program is intended for applicants with an annual household income between $25,000 and $65,000. Entering an amount within this range allows us to evaluate your eligibility for available assistance programs.
Lab Testing

Before starting PrEP, you'll need to complete routine laboratory testing to confirm you're eligible for treatment and to ensure it's safe to begin medication. Regular HIV and STI screening, along with kidney function testing, are recommended as part of ongoing PrEP care.

HerMister offers convenient testing options, including at-home test kits and in-person laboratory testing, so you can choose the option that works best for you. Your healthcare provider will review your results before prescribing treatment.

Plan

Before starting PrEP, you'll need to complete a simple laboratory test to confirm that you're HIV-negative and that your kidneys are healthy enough for treatment. As recommended by the CDC, routine STI screening every 3–6 months is also an important part of ongoing PrEP care.

At HerMister, we make the testing process simple and convenient. Select the testing option that best fits your needs.

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904-289-1254 info@hermister.com

2732 Trollie Ln.
Jacksonville, FL 32211


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