Proof of Positivity

• Western Blot Results
• HIV Letter of Diagnosis
• Lab Results with measurable viral load count

Proof of Texas Residency

• Valid Texas ID with current address listed
• Valid Lease Agreement
• Utility Bill
• Birth Certificate

Proof of Income

• 3 most current pay stubs
• SSI/SSDI Award Letter
• Tax Return Form
• Bank Statement
• Zero Income Verification

Social Security Cards (not required)

Medical Insurance Cards (if any)

• Medicare/Medicaid
• Private Insurance
• Prescription Cards

All Medications Currently Taking

• HIV / AIDS Medications
• Other Medications