In order to be eligible for assistance, an individual must meet all three of the following requirements. You:
- Must be HIV-positive or have a diagnosis of AIDS. A health care provider must verify this by completing the Provider's Medical Certification Form, which is available on our Forms and Downloads page.
- Must be a resident of the state of Wyoming. A copy of a valid Wyoming drivers license or state-issued ID card must be submitted along with the Application for Assistance. There are no other acceptable forms of identification. Persons needing to obtain a drivers license or state ID card can obtain more information from the WYDOT Driver Services website.
- Must have total annual household income at or below the current income guideline, based upon county of residence. You may view the current income guidelines here.
The current Application for Assistance form is available from any WY county public health office, or you may print it directly from the Forms and Downloads page on the Health Department Website.
If you or someone you know is living with HIV/AIDS, would like to enroll in these programs, or simply need more information, please feel free to contact any public health nursing office in Wyoming. You may also contact Program staff directly by telephone at (307) 777-5856, or by email.