HIV/AIDS Drug Request Prescription Form

The HIV/AIDS Drug Request Prescription Form (PDF) may be downloaded here. Paper copies of the form may be requested from the BC-CfE HIV Drug Treatment Program. Information about how to complete the prescription form can be found in the next section.

For information on how to use this form, and to learn about program eligibility, enrolment, and obtaining HIV medication in BC, please click here.

Scroll to Top

The BC-CfE Laboratory is streamlining reporting processes for certain tests in order to simplify distribution and record-keeping, and to ensure completeness of results. Beginning September 2, 2025, results for the ‘Resistance Analysis of HIV-1 Protease and Reverse Transcriptase’ (Protease-RT) and ‘HIV-1 Integrase Resistance Genotype’ tests will be combined into a single ‘HIV-1 Resistance Genotype Report’.
For more details and example reports, please click on the button below