If you are newly diagnosed with HIV or looking to get back into medical care, CLEAR is the program for you!  Choosing Life! Empowerment! Action! Results! (CLEAR) is an intervention and counseling program to empower HIV positive individuals.  Receive up to $100 for completing all 5 one on one sessions.  All responses are confidential.  Must be 18 & up to enroll.

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* 1. First Name

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* 2. Last Name

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* 3. What are your pronouns?

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* 4. What is your sex?

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* 5. Date of Birth

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* 6. Phone number

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* 7. Email address

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* 8. How did you hear about us? Check all that apply.

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