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The Wellness Program/HIV and AIDS

Please note that patients and visitors are required by law to wear masks in all healthcare facilities, regardless of vaccination status.

Do you know your status? Our staff can provide free and confidential HIV testing.

Call us for an appointment. 540.374.3279

The Wellness Program|Ryan White Grant
1101 Sam Perry Blvd., Suite 304 and 318
Fredericksburg, VA 22401

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Phone: 540.374.3279

Hours: Monday–Friday: 8:30 a.m.–5:00 p.m.

HIV and COVID-19. You may have questions and concerns about COVID-19 and how best to stay healthy, or perhaps you need to see a doctor who is qualified to treat both HIV and COVID-19. Please contact us. We are here to help.

COVID virus

The MWHC Wellness Program | Ryan White Grant serves our community to help those living with HIV and Aids to navigate healthcare, understand medications, and assist in finding financial and emotional support options. Please visit the community calendar for upcoming community education and support events.

Wellness Program clients who are interested in understanding what assistance is available for them can come to the program office, located on the Mary Washington Hospital Campus. Our staff will assist clients in understanding eligibility requirements, general conditions and restrictions.

For more information, contact us at 540.374.3279 or email Wellness.Program@mwhc.com. The Wellness Program office is located on the Mary Washington Hospital campus in the Tompkins-Martin Medical Plaza, 1101 Sam Perry Blvd., Suite 304, Fredericksburg, Virginia 22401. Transportation to this location is available on the local Fred Bus.


Mary Washington Infectious Diseases has five board-certified physicians who specialize in infectious disease treatment: Dr. Awol Ali, Dr. Norman Bernstein, Dr. Lauren Fiske, Dr. Rosemary Iwunze, Dr. Lalita Chulamokha, and Dr. Moumita Sarker, as well as nurse practitioner Felicia Hall. They are available for in-person or virtual (telehealth) visits. Please call The Wellness Program at 540.374.3279 to schedule an appointment.

Read more about the practice and physicians here

Living with HIV? Staying well and protecting yourself from COVID-19.

People who live with HIV should always protect themselves against viruses and infections.

  • Limit exposure to others by staying home unless absolutely necessary
  • Wash your hands often
  • Get adequate rest
  • Take all medications on a regular schedule
  • Eat well, with emphasis on colorful vegetables
  • Drink plenty of water – you are adequately hydrated if your urine is pale yellow

If you feel unwell, take your temperature every couple of hours. Call the office at 540.374.3279 if your temperature elevates.

MWHC COVID-19 Vaccine and FAQs Ryan White COVID-19 FAQs


HIV home test kit

FREE At-Home Test Kits

If you are concerned about leaving your house for an HIV test, the Wellness Program has FREE at-home test kits available for Virginia residents to check their HIV status in just 20 minutes. If you would like to receive a free kit, please email your name and address to the Wellness Program at wellness.program@mwhc.com or call 540.374.3279. A discreetly packaged kit will be mailed directly to you for your convenience.

As a reminder, we continue to offer free in-office HIV testing at 1101 Sam Perry Blvd, Suite 304; Fredericksburg, VA 22401.

*En español

*Teniendo en cuenta la orden de Quedarse en Casa del Gobernador Northam, el Programa de Bienestar de MWHC cuenta con pruebas GRATIS de chequeo a los residentes de Virginia que deseen verificar su estado de HIV, para hacer en casa en tan solo 20 minutos. Si está interesado en recibir un paquete de prueba gratis, por favor envie por correo electrónico su nombre y dirección al Programa de Wellness a wellness.program@mwhc.com o llame al teléfono 540.374.3279. Un discreto paquete de prueba le será enviado por correo directamente a usted.

Le recordamos que aún continuamos ofreciendo pruebas de HIV gratuitas en nuestra oficina en las siguientes direcciones 1101 Sam Perry Blvd, Suite 304; Fredericksburg, VA 22401


FREE Condoms

If you are in need of condoms and can't visit the office, email your name and address to Wellness.Program@mwhc.com and the team will mail to you.

When used properly, condoms are highly effective in preventing HIV and other STIs. Part of effective use includes using a non-oil based lubricant to reduce breakage.

CDC Resource: Proper Condom Use



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Awards & Recognitions

Are You Worried About Contracting HIV? Pre-Exposure Prophylaxis (PrEP)

The MWHC Wellness Program team will help guide you through strategies to reduce the risk of contracting HIV and other sexually transmitted infections. The team is open minded and will allow you to ask any question you have regarding sexual practices.

If you would like to start Pre-Exposure Prophylaxis call the office at 540.374.3279. Our team will connect you with a caring physician to manage your health care and medications. The program has options to help with the cost of medical visits, labs and medications.

Are You Concerned You Have Been Exposed to HIV? Post-Exposure Prophylaxis (PEP)

Post-Exposure Prophylaxis (PEP) is a medication you can take to reduce the risk of contraction after a possible exposure. Call as soon as possible to talk with our team. The medication must be started within 72 hours of an unprotected sexual experience. Let us help you with your concern. 540.374.3279.

HIV Medication Information

If you are not sure about your HIV and other medications, we can help you sort out what is current and needed. We can also help you optimize timing and administration of the medications for the best absorption. Our goal is to help all clients reach an undetectable level.

U=U means Undetectable=Untransmittable.

We also have a way to help you dispose of the old and unwanted medications. Give us a call at 540.374.3279.


The Virginia AIDS Drug Assistance Program (ADAP) provides access to life-saving medications for the treatment of HIV and related illnesses for low-income clients through the provision of medications or through assistance with insurance premiums and medication co-payments.

The program is primarily supported with federal Ryan White (RW) Treatment Extension Act Part B grant funding, which is distributed by a formula based on living HIV and AIDS cases to all states and territories in the United States.

HIV Self-care

Are you getting enough sleep?

Considering the challenges of the past year, the answer is likely a resounding “NO!” Sleep is such an important part of our lives, that the Centers for Disease Control (CDC) began to study the self-reported sleep patterns of American adults a few years ago. The CDC found that:

  • One third of American adults report getting less than the recommended seven hours of sleep per night

The National Sleep Foundation (NSF), also found that most Americans report feeling sleepy during daylight hours, an average of three times per week. According the NSF:

  • 55% of American adults report they do not sleep well at night, while 44% report not getting enough sleep

We all know that a good night’s sleep makes us feel better, and most of us have experienced changes in mood, irritability, or confusion, when we are unable to sleep. Sleep disturbances, and sleep disorders also impact our overall health, however, and are linked to:

  • Heart Disease
  • High Blood Pressure
  • Obesity
  • Depression
  • Headaches, and Migraines

Sleep & HIV

While sleep is important for anyone, the American Psychological Association (APA) emphasizes that sleep is a particularly important factor among Americans living with HIV. The APA found:

  • 30-40% of HIV-positive adults report some difficulty with sleep, ranging from occasional difficulties falling asleep, to interrupted sleep patterns, to waking up after only a few hours of sleep, to insomnia

Potential Causes of Sleep Disturbances Among Persons Living With HIV

  • Chronic insomnia shortly after HIV-infection
  • Side effects of Antiretroviral Therapy
  • Side effects of HIV-infection
  • Stressful life events and challenges

Get a “Good Night’s Sleep”

Easier said than done, most of us would say, but the CDC and sleep experts recommend the following for a better night’s sleep:

  • Establish a routine, and go to bed around the same time every night
  • Check your environment: Is it dark enough or too dark for you? Is the room temperature comfortable? Is it quiet, or too quiet for you? Find what works for you.
  • Do not take your phone to bed or silence your phone if you feel comfortable doing so. Unless it is an emergency-it can wait until you have your first cup of coffee in the morning
  • Avoid caffeine, alcohol, or large meals right before you go to bed
  • Give yourself some “down time”-turn the TV off, listen to relaxing music, listen to relaxing sounds
  • Avoid naps during the day
  • Take a warm bubble bath before sleep
  • Don’t use your bedroom as an office
  • Make a list of things of things to worry you, and things to remember, before you go to bed and remind yourself that you will “tackle” that list in the morning
  • And most importantly: Talk to your doctor if difficulties with sleep persist or begin to impact your physical and mental health!

Medical case managers are available to assist with sleep strategies and connect you with a specialist if needed. Call our office at (540) 374-3279 to speak to our medical case managers.

For Further Information Go To:

APA, Sleep and HIV: file:///C:/Users/130664/Downloads/FactSheet-Insomnia-2012.pdf

CDC, Sleep: https://www.cdc.gov/media/releases/2016/p0215-enough-sleep.html

Cleveland Clinic, Health Essentials-Sleep: https://health.clevelandclinic.org/happens-body-dont-get-enough-sleep/

NIH, Sleep Disturbances in Persons Living with HIV: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3543776/

HIV Prevention and Education

Resources:


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Understanding the Ryan White Grant

Unlike Medicare or Medicaid, Ryan White Grant programs are the “payer of last resort,” which fund treatment for HIV/AIDS positive patients when no other resources are available. The Ryan White program serves over half-a-million people each year across the nation. In 2016, 551,567 clients received services from close-to 3,000 funded grant recipients and subrecipients.

The US Congress created the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act. Named in honor of Ryan White, an Indiana teenager who contracted AIDS through a tainted hemophilia treatment in 1984, the Act sought funding to improve availability of care for low income, uninsured and under-insured victims of AIDS and their families. Ryan was expelled from school because of the disease and became a well-known advocate for AIDS research and awareness, until his death on April 8, 1990.

Wellness Program | Ryan White Client Paperwork

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