HIV Care

Establishing HIV Care at HOPES

If you are newly diagnosed or relocating to this area and want to establish HIV care, please call our Case Managers Jenn D. (775-997-7500) or Jeanni A (775-236-0689). Our Case Managers will reach out to schedule an appointment with you within 48 hours.

If you are calling the main line, 775-786-4673, please listen for the option or tell our staff you would like to establish HIV care at HOPES.

Becoming a patient at HOPES

At your first appointment with our Case Managers, it is helpful if you bring specific documents to help us assess eligibility for programs, including our Ryan White Program. The Ryan White Program is a nationwide program that assists HIV/AIDS patients and their families with a variety of services. The Program works with cities, states and local community-based organizations to provide HIV-related services to individuals who are uninsured or underinsured.

Documents to assess Ryan White eligibility include*:

  • Proof of HIV Status
  • Proof of Nevada Residency – This may include rental agreements, utility bills, birth certificates, a green card with social security number or other official correspondence that has the same address as the picture identification.
  • Proof of Income – This may include paycheck stubs, disability award letter, or other official document stating monthly income.
  • Proof of Insurance (If available)

* If you do not have these documents readily available, your case manager will work with you to get documentation.

After your appointment with case management, you will be scheduled with our medical care team. Our HIV Specialists like to see HOPES’ patients, typically, every 4 months so that we can monitor your health effectively. During your medical visits, you will have access to Behavioral Health, Case Management services, and more. If you are relocating, please ensure you have enough medication to last at least 2 weeks. We will work to get you scheduled with an HIV Specialist as soon as possible.

We accept major health plans and also have a sliding fee scale for Ryan White enrolled clients for all offered services. We provide services regardless of an individuals ability to pay. In addition, we are funded (in part) by grants from the US Department of Health and Human Services, Health Resources and Services Administration, HIV/AIDS Bureau, and the Ryan White HIV/AIDS program and the State of Nevada, Office of HIV/AIDS.

Who We Are

Northern Nevada HOPES has been providing HIV care to Northern Nevada since 1997. Integrated care is provided focusing on the medical, behavioral health, social and emotional needs of each patient. We are a team of dedicated and skilled professionals committed to working with individuals, couples and families to improve the health and quality of life for those living with HIV/AIDS.

If you’re living with HIV, or think you might be, we’ve got everything you need to take the best possible care of your health. Our broad range of HIV services including:

  • Drop-in and confidential testing for HIV/Hep C at Change Point.
  • HIV medical care.
  • Behavioral Health and Substance Abuse Screening and Treatment.
  • Psychiatric assessment and treatment.
  • Nutritional therapy and education.
  • Medical and non-medical case management.
  • Treatment adherence counseling.
  • Medication delivery.*
  • Medical transportation.*
  • Support groups.
  • Group therapy.
  • Housing Assistance.*
  • An on-site laboratory and pharmacy.
  • Referrals to specialty care.
*Eligibility or exclusions may apply.

Meet our HIV Specialty Providers

Charles Krasner, MD

Infectious Disease Specialist

Maria Gorgona, MD

Internal Medicine

Carol Meyer, MSN FNP-C

HIV Providers

Ivy Spadone, PA-C

Chief Operations Officer/Physician Assistant

HOPES Case Management Team

The Case Management team is available to support you and link you to resources and programs at HOPES and in the community. You can reach the Case Management Department at 775-348-2893. If you know the staff member you are trying to reach, refer to the contact info below.

Intake Case Managers

Jenn D.
(775) 997-7500

Jeanni A.
(775) 236-0689

Medical Case Manager

Connie E.
(775) 786-4673 ext. 2005

Marcy C.
(775) 786-4673 ext. 7022

Retention-In-Care Case Manager

Gus M.
(775) 786-4673 ext. 7006

Non-Medical Case Manager

Gus M.
(775) 786-4673 ext. 7006

Marcela F.
(775) 786-4673 ext. 2006

Housing Case Managers

Wilma H.
(775) 786-4673 ext. 2012

David B.
(775) 786-4673 ext. 7005

HIV Resources

HIV 101



* To make an appointment for PrEP, please call the main line at (775) 786-4673 and request a “PrEP appointment.”

What is PrEP?

Pre-exposure prophylaxis (or PrEP) is when people at very high risk for HIV take HIV medicines daily to lower their chances of getting infected. PrEP can stop HIV from taking hold and spreading throughout your body. It is highly effective for preventing HIV if used as prescribed, but it is much less effective when not taken consistently.

Daily PrEP reduces the risk of getting HIV from sex by more than 90%. Among people who inject drugs, it reduces the risk by more than 70%. Your risk of getting HIV from sex can be even lower if you combine PrEP with condoms and other prevention methods.

More information on PrEP.


* If you think you have been exposed or have a potential exposure to HIV, please call (775) 786-4673 and tell our staff you think you have been exposed to HIV. Please inform our staff you would like a “PEP appointment.”

What is PEP?

PEP (post-exposure prophylaxis) means taking antiretroviral medicines (ART) after being potentially exposed to HIV to prevent becoming infected.

PEP should be used only in emergency situations and must be started within 72 hours after a recent possible exposure to HIV. If you think you’ve recently been exposed to HIV during sex or through sharing needles and works to prepare drugs or if you’ve been sexually assaulted, talk to your health care provider or an emergency room doctor about PEP right away.

More information on PEP.