PrEPStart Prescription Form

Once you have the bloodwork results and have confirmed the patient is eligible for PrEP, download and complete the PrEPStart prescription form PDF below.

When the form is complete, print and fax it to the PrEPStart pharmacy at 416-926-9898.

The pharmacy will fill the prescription and contact the patient who will either pick up their medication (if living in Toronto) or have it shipped to them (if they live outside Toronto).


Download the PrEPStart prescription form.