Total Health Clinic at Ruth Fertel Tulane Community Health Center – Appointment

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

If you do not have some or any of these items, we will still provide treatment to you.

Requester's Name(Required)

First Last

Person filling out this form.

Patient's Name

First Last

If different from above.

Email(Required)

Patient Age

Best Daytime Phone(Required)

Secondary Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Do You Have Insurance

How did you hear about us?

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