Refer Someone to PREP

If you or someone you know is experiencing these early warning signs, 

please contact us for eligibility.

 To make a referral for yourself, a family member, or a friend:
Call us at
888-535- PREP (7737), 


Or fill out the referral form below.


If you are a provider, please fill out a TAT referral form and
fax to Radawn Alcorn at 
(888) 625-5503

PREP Alameda Referral Form

Please enter your contact information below and our staff will contact you within 24-48 hours.  Please leave 2-3 good times for us to reach you in the "comments" section.  We look forward to connecting with you.

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
Comments: