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The Max Clinic

Addressing the needs of patients with complex medical and social needs.

Short URL: kingcounty.gov/max-clinic

We can help

Patients are enrolled in the Max Clinic on the basis of referrals from medical providers, case workers and other community collaborators.

The Max Clinic is designed to engage the "hardest-to-reach" people living with HIV. Patient referrals to the clinic are reviewed by the Max team, and patients are invited to enroll in the Max clinic if they meet certain criteria.

About us

Improving engagement in HIV care is critical for the health of individuals living with HIV and for preventing new HIV infections. Although the level of viral suppression in King County is higher than national estimates, some people living with HIV have difficulty engaging in HIV care, are not on anti-retroviral therapy and are not virally suppressed.

In 2015, the Madison Clinic and the Public Health — Seattle & King County HIV/STI/HCV Program created the Max Clinic ("Maximum assistance" clinic) to address the needs of patients with complex medical and social needs who are not well-engaged in HIV care as it is traditionally organized.

Public Health case managers

  • Portney Shibale
  • Hector Urrunaga Diaz
  • Julia Gengenbach

Medical case managers

  • Kierstin Brown
  • Teagan Wood
  • Christopher Leyva Vera

Medical providers

  • Dr. Chase Cannon
  • Annah Edmonds, Mental Health Practitioner
  • Dr. Elaine Thomas
  • Dr. Julie Dombrowski
  • Dr. Matt Golden
  • Dr. Meena Ramchandani
  • Annie Valenziano, RN

Resources for medical providers

Dombrowski, JC, Ramchandani M, Dhanireddy S, Harrington RD, Moore A, Golden, MR. The Max Clinic: Medical Care Designed to Engage the Hardest-to-Reach Persons Living with HIV in Seattle and King County, Washington. AIDS Patient Care STDS. 2018 Apr;32(4):149-156.

Dombrowski JC, Galagan SR, Ramchandani M, Dhanireddy S, Harrington RD, Moore A, Hara K, Eastment M, Golden MR. HIV Care for Patients With Complex Needs: A Controlled Evaluation of a Walk-In, Incentivized Care Model. Open Forum Infect Dis. 2019 Jun 26;6(7).  

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