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DOH Form 150-053 Pre-exposure Prophylaxis Drug Assistance Program (Prep Dap) Confidential Application - Washington
What Is DOH Form 150-053?
This is a legal form that was released by the Washington State Department of Health - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the DOH Form 150-053?A: DOH Form 150-053 is the application form for the Pre-exposure Prophylaxis Drug Assistance Program (Prep Dap) in Washington.
Q: What is the Pre-exposure Prophylaxis Drug Assistance Program (Prep Dap)?A: The Pre-exposure Prophylaxis Drug Assistance Program (Prep Dap) is a program in Washington that provides assistance for accessing pre-exposure prophylaxis (PrEP) medication.
Q: What is PrEP medication?A: PrEP medication is a daily pill that can help prevent HIV infection in people who are at high risk.
Q: Who can apply for the Prep Dap program?A: Individuals who are at high risk for HIV infection and meet the eligibility criteria can apply for the Prep Dap program.
Q: Is the application form confidential?A: Yes, the DOH Form 150-053 Pre-exposure Prophylaxis Drug Assistance Program (Prep Dap) Confidential Application is confidential.
Form Details:
- Released on November 1, 2017;
- The latest edition provided by the Washington State Department of Health;
- Easy to use and ready to print;
- Available in Spanish;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of DOH Form 150-053 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
Download DOH Form 150-053 Pre-exposure Prophylaxis Drug Assistance Program (Prep Dap) Confidential Application - Washington
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