This is a legal form that was released by the California Department of Public Health - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form CDPH8439?A: Form CDPH8439 is the AIDS Drug Assistance Program Enrollment Application in California.
Q: What is the AIDS Drug Assistance Program?A: The AIDS Drug Assistance Program (ADAP) is a program in California that provides free or low-cost HIV/AIDS medications to eligible residents who are uninsured or have limited prescription drug coverage.
Q: Who is eligible for the ADAP in California?A: To be eligible for the ADAP in California, individuals must meet certain criteria, such as being a resident of California, being HIV-positive, having a household income at or below a certain level, and being uninsured or having limited prescription drug coverage.
Q: What is the purpose of the Form CDPH8439?A: The Form CDPH8439 is used to enroll in the AIDS Drug Assistance Program in California and provide necessary information to determine eligibility for the program.
Form Details:
Download a fillable version of Form CDPH8439 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the California Department of Public Health.