HIV Care and PrEP Services in Northwest Arkansas
Confidential HIV care, prevention, and ongoing management with board certified infectious disease physicians serving Fayetteville and Rogers.
Comprehensive HIV Care
Our practice provides full spectrum care for patients living with HIV, from initial diagnosis through long term management. Modern antiretroviral therapy is highly effective, and most patients can expect a normal life expectancy when they engage in consistent care. We work with each patient to choose a regimen that fits their health profile, lifestyle, and insurance coverage. Our physicians are board certified in infectious disease and have decades of combined experience caring for patients with HIV in Northwest Arkansas. We see patients of all ages, all backgrounds, and at every stage of disease, and we coordinate with primary care providers, specialists, and community resources to make sure every aspect of your health is supported.
PrEP for HIV Prevention
Pre exposure prophylaxis, commonly called PrEP, is a daily medication that reduces the risk of acquiring HIV by more than 99 percent when taken as prescribed. PrEP is appropriate for anyone who is at higher risk of HIV exposure, including individuals with an HIV positive partner, people with multiple sexual partners, and those who inject drugs. You do not need a referral from another physician to start PrEP with our practice. We handle the initial labs, prescribe the medication, and provide quarterly follow up to monitor kidney function and screen for sexually transmitted infections. Most insurance plans cover PrEP, and patient assistance programs are available for those who are uninsured or underinsured.
HIV Testing Options
We offer confidential HIV testing for anyone who wants to know their status. Standard fourth generation antibody and antigen testing detects HIV infection within two to four weeks of exposure, and rapid testing is available when faster results are needed. If you have had a recent high risk exposure, contact us promptly. Post exposure prophylaxis (PEP) can reduce the risk of infection when started within 72 hours. Our team understands that getting tested can feel stressful, and we work to make the experience straightforward and judgment free. Results are protected by HIPAA and shared only with you.
Ongoing HIV Management and Undetectable Viral Load
Modern HIV treatment focuses on achieving and maintaining an undetectable viral load. When the virus is suppressed below the detection limit of standard lab tests, an HIV positive person cannot transmit the virus to a sexual partner. This concept is summarized as Undetectable equals Untransmittable, or U=U. Reaching U=U typically takes a few months on consistent therapy. We monitor your viral load and CD4 count on a regular schedule, screen for medication side effects, and adjust therapy as needed. Routine visits also include cardiovascular risk assessment, bone health monitoring, vaccinations, and screening for opportunistic infections.
What to Expect at Your First Appointment
Your first appointment lasts about an hour. You will meet your physician, review your full medical history, discuss your concerns, and complete a physical exam. We draw labs to assess viral load, CD4 count, kidney and liver function, and screen for co occurring infections. If you are starting therapy, we will discuss the options and choose a regimen together. If you are continuing care that began elsewhere, please bring records of prior labs, current medications, and the name of your previous provider. We file insurance and can help you understand patient assistance programs that lower out of pocket costs.
Common Questions from Our Patients
Do I need a referral to be seen for HIV care or PrEP?
No, you do not need a referral to schedule with our practice for HIV care or PrEP. You can call our office directly to make an appointment. Many patients are referred by their primary care physician or by community health programs, but a referral is not a requirement. We accept most major insurance plans, and our team can verify your benefits before your visit so you understand any costs in advance.
How is my information kept confidential?
All medical records are protected under HIPAA, and our practice follows strict confidentiality standards specific to HIV care. Your records are not shared with employers, family members, or other physicians without your written permission. Lab results are released to you directly through our patient portal or by phone. If you prefer that we not leave voicemails or send mail to your home, just let our front desk know your preferences and we will honor them.
How do I start PrEP?
Call our office to schedule a PrEP visit. At the first appointment we confirm you are HIV negative, screen for sexually transmitted infections, and check your kidney function. If labs are clear, we typically prescribe PrEP the same week. Follow up visits are every three months to monitor labs and refill the prescription. The whole process is straightforward, and most insurance plans cover the medication and lab work. We can also help with patient assistance programs if cost is a concern.
How often do I need follow up once I am on HIV treatment?
After starting therapy, we typically see patients every four to six weeks until the viral load is undetectable, then every three to four months for stable patients. Patients who are durably suppressed and have no other concerns may eventually move to twice yearly visits. Lab work is done at each visit, and our team is available between visits by phone or through the patient portal for medication questions, side effect concerns, or any other issues that come up.
What insurance do you accept for HIV services?
We accept most major commercial insurance plans, Medicare, and Medicaid. For patients without coverage or with high deductibles, we work with the Ryan White program and pharmaceutical assistance programs to make HIV medications and PrEP accessible regardless of ability to pay. Our front office can verify your specific coverage and out of pocket responsibility before your appointment so there are no surprises.