Observational study looking at barriers to care for individuals seeking care, Post Exposure Prophylaxis (PEP) after an actual or perceived exposure to HIV. Following PEP treatment subjects will be asked about there intent to transition to Pre-Exposure Prophylaxis (PrEP) and surveyed about barriers to care or perceptions of care

The primary objective of this study is to assess the rate of engagement in a PEP to PrEP HIV provider network for those patients presenting following a non-occupational HIV exposure.

The development of a referral network and intensive clinical follow up of PEP patients will result in more patients appropriately initiating PEP, being referred to appropriate follow up, and post exposure transition and maintaining on PrEP (if indicated) at completion of the PEP medications.

Inclusion Criteria:

• Actual or perceived non-occupational exposure to HIV, by self report, within 72 hours of enrollment and referred for care
• able and willing to provide informed consent
• available for 12 months of post expoure follow-up Southern Nevada Ryan White defined service area

Exclusion Criteria:

• HIV+ at time of screeing via 4th genderation (Antibody/Antigen) testing
• Current PEP and/or PrEP product condrainidications as listed in the medication product insert.

HIV negative Men, Women, Transgender Men, Transgender Women age who self identify as having had an actual or perceived non-occupational exposure to HIV

HIV negative Men, Women, Transgender Men, Transgender Women age who self identify at risk of acquisition of HIV after having had an actual or perceived non-occupational exposure to HIV