This version of the form is not currently in use and is provided for reference only. Download this version of Form OP-140301E for the current year.
This is a legal form that was released by the Oklahoma Department of Corrections - a government authority operating within Oklahoma. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form OP-140301E?
A: Form OP-140301E is a Preventive Therapy Waiver for Tuberculosis (TB) Infection specific to Oklahoma.
Q: What is the purpose of Form OP-140301E?
A: The purpose of Form OP-140301E is to request a waiver from the requirement of preventive therapy for tuberculosis infection.
Q: Who needs to fill out Form OP-140301E?
A: Individuals who have been diagnosed with a tuberculosis infection and are seeking a waiver from the requirement of preventive therapy in Oklahoma need to fill out this form.
Q: Are there any eligibility criteria to request a waiver using Form OP-140301E?
A: Yes, individuals must meet certain eligibility criteria to request a waiver, including having a negative sputum test, completing a medical evaluation, and providing documentation of treatment completion or adherence.
Q: Is there a fee to submit Form OP-140301E?
A: No, there is no fee to submit Form OP-140301E.
Q: Who should I contact for more information about Form OP-140301E?
A: For more information about Form OP-140301E, individuals should contact their healthcare provider or the Oklahoma State Department of Health.
Form Details:
Download a printable version of Form OP-140301E by clicking the link below or browse more documents and templates provided by the Oklahoma Department of Corrections.