Intake Information Packet

Required Documents Packet

DAP Intake Class – Every Wednesday at 2pm

(Must call or email Ed Scarry at 760-323-2118 x295 or escarry@desertaidsproject.org for an intake appt.)

Required items (with intake packet) needed to attend the DAP Intake Class:

  • Who Are You: (any of the following)
    • Drivers license
    • State ID
    • Immigration Card
    • or Valid United States Passport

  • Social Security Card: (or proof you have applied)

  • Proof You Live in Riverside or San Bernardino County: (any of the following)
    • A post-marked letter 90 days prior to the date of intake
    • Utility bill - showing original date of service 90 days prior to the date of intake
    • Rental Agreement - Showing move in date 90 days prior to the date of intake

  • Proof of HIV: (Diagnosis information)
    • Form or letter completed by a physician or licensed healthcare provider
    • - OR -
    • Lab results indicating the client’s HIV status (Western Blot), CD4 count, HIV viral load test performed.
  • Proof of Insurance: (Medicare, Medi-Cal, or Private Insurance)

  • Proof of Income:
    • Federal Income Tax Return
    • - OR (any of the following) -
    • Pay Stubs for the last 3 months
    • Disability Award Letter
    • Retirement Benefit Receipt or Check Stub
    • Letter of Support from family member or friend
    • Self Employment Affidavit/Profit/Loss Quarterly statement
    • + AND +
    • Current and Complete Bank Statement





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Desert AIDS Project
MAIN LOCATION:
1695 N. Sunrise Way, Palm Springs, CA 92262
P.O. Box 2890, Palm Springs, CA 92263
(760) 323-2118 / Toll Free (866) 331-3344 / TDD (760) 969-1796 / Fax (760) 323-9865
Office hours: 8:00 AM – 5:00 PM Monday – Friday

INDIO LOCATION:
82-365 Highway 111, Suite 100, Indio, CA 92201
(760) 342-4197

FREE AND CONFIDENTIAL TESTING:
Palm Springs: 2nd and 4th Monday 9:00 AM – Noon at Roy's Desert Resource Center
19531 McLane Street (760) 676-5200
Monday & Thursday 5:00 – 7:00 PM at 1695 N. Sunrise Way
Appointments: (760) 323-2118
2nd and 4th Friday 9:00 AM – Noon at Golden Rainbow Senior Center
700 E. Tahquitz Canyon Way, Suite F (760) 416-7790
Saturday 10:00 AM – 2:00 PM at Revivals
611 S. Palm Canyon Drive, Suite 9 (760) 318-6491
Cathedral City 1st & 3rd Friday 1:00 – 5:00 PM at Revivals
68-401 Highway 111 (760) 969-5747
Indio: Wednesday 11:00 AM – 4:00 PM
82-365 Highway 111, Suite 100 (760) 342-4197


Copyright © 2010 Desert AIDS Project