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DOH Form 410-044 HIV & Health Status Information - Early Intervention Program (Eip) Confidential Application - Washington
What Is DOH Form 410-044?
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 410-044?A: DOH Form 410-044 is the HIV & Health Status Information - Early Intervention Program (EIP) Confidential Application form in Washington.
Q: What is the purpose of the DOH Form 410-044?A: The purpose of the DOH Form 410-044 is to gather confidential information about HIV and health status for the Early Intervention Program (EIP) in Washington.
Q: Who can access the information provided on DOH Form 410-044?A: The information provided on DOH Form 410-044 is confidential and can only be accessed by authorized personnel involved in the Early Intervention Program (EIP).
Q: What is the Early Intervention Program (EIP)?A: The Early Intervention Program (EIP) is a program in Washington that provides early intervention services for individuals diagnosed with HIV or AIDS.
Q: Is the DOH Form 410-044 mandatory?A: Yes, the DOH Form 410-044 is mandatory for individuals seeking enrollment in the Early Intervention Program (EIP).
Form Details:
- Released on July 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 410-044 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
