Vienna has the most developed gay sexual health infrastructure in Austria, but every state capital has an Aids Hilfe organisation and a university or state hospital that can handle PrEP, PEP, and specialist STI care.

Graz (Steiermark)

Austria's second-largest city, with a meaningful gay community centred around the old town area.

Aids Hilfe Steiermark The regional Aids Hilfe for Styria. HIV testing, counselling, and sexual health support. Website: aidssteiermark.at

LKH Universitätsklinikum Graz Auenbruggerplatz 1, 8036 Graz The main university hospital for Styria. Infectious disease department for PrEP prescriptions and PEP. Go to the Notaufnahme for after-hours PEP access.

Gay community: Graz has a small but active gay scene. Check local LGBTQ+ listings for current venues and community events.

Linz (Oberösterreich)

Aids Hilfe Oberösterreich Website: aho.or.at HIV testing, counselling, harm reduction, and PrEP support for Upper Austria.

Kepler Universitätsklinikum Linz Wagner-Jauregg-Weg 15, 4020 Linz The university hospital for Upper Austria. Infectious disease department for PrEP and PEP. Notaufnahme for emergencies.

Salzburg

Aids Hilfe Salzburg Website: aidshilfesalzburg.at The regional HIV and sexual health service for Salzburg.

Salzburger Landeskliniken (SALK) / Universitätsklinikum der PMU Müllner Hauptstraße 48, 5020 Salzburg The main hospital complex in Salzburg, including the university clinic of Paracelsus Medical University. Infectious disease and PEP access.

Note for tourists and festival-goers: Salzburg receives a large number of visitors during the summer festival season and at Christmas. If you need PEP while visiting, go directly to SALK Notaufnahme — EU/EEA EHIC is accepted for emergency care.

Innsbruck (Tirol)

Aids Hilfe Tirol Website: aidshilfe-tirol.at Sexual health services, HIV testing, and support for Tyrol.

Tirol Kliniken / Universitätsklinik Innsbruck Anichstraße 35, 6020 Innsbruck The university hospital for Tyrol. Infectious disease department for PrEP and PEP. The main Notaufnahme for after-hours emergencies.

Note for ski visitors: Innsbruck and surrounding ski resorts (Ischgl, Sölden, Kitzbühel) receive large numbers of international visitors in winter. PEP is available at Tirol Kliniken Innsbruck — a taxi or transfer is necessary from mountain resorts, which can take 30–90 minutes. Act immediately; do not wait until morning.

Klagenfurt (Kärnten)

Aids Hilfe Kärnten Website: aidshilfe-kaernten.at HIV and sexual health services for Carinthia.

Klinikum Klagenfurt am Wörthersee Feschnigstraße 11, 9020 Klagenfurt The main hospital for Carinthia. Emergency department and infectious disease access.

Bregenz (Vorarlberg)

Aids Hilfe Vorarlberg Website: aids-vorarlberg.at

LKH Bregenz Carinagasse 47, 6900 Bregenz Nearest larger hospital for complex cases: LKH Feldkirch (Carinagasse 47, 6800 Feldkirch).

Proximity to Switzerland and Germany: Vorarlberg borders both Switzerland (St. Gallen canton) and Germany (Baden-Württemberg). If you are near the border, Checkpoint Zürich (Switzerland) is accessible and has no-CPR-required testing. For emergencies (PEP), Austrian hospitals are the appropriate route — EHIC is the standard for EU visitors, and Switzerland is not in the EU/EEA EHIC system.

Rural Austria and Smaller Towns

Outside the state capitals, access becomes thinner. Key principles:

Testing: Travel to the nearest Aids Hilfe centre for three-site screening. A rural GP may not have the equipment or experience for rectal and throat swabs.

PrEP: GP prescription is possible if you have an established relationship with a knowledgeable Kassenarzt or Wahlarzt. Otherwise, travel to the nearest Aids Hilfe centre or Infektionsambulanz at the state hospital.

PEP: Go to the nearest Landeskrankenhaus or Universitätsklinikum — every state hospital has emergency department access. The 72-hour window is absolute. Austria is compact; no one is more than 1–2 hours from a major hospital.

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