Form CDPH8733 Pre-exposure Prophylaxis Assistance Program Consent Form - California

Form CDPH8733 Pre-exposure Prophylaxis Assistance Program Consent Form - California

What Is Form CDPH8733?

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.

FAQ

Q: What is Form CDPH8733?
A: Form CDPH8733 is the Pre-exposure Prophylaxis Assistance Program Consent Form.

Q: What is the Pre-exposure Prophylaxis Assistance Program?
A: The Pre-exposure Prophylaxis Assistance Program is a program in California that provides assistance for HIV prevention medication called pre-exposure prophylaxis (PrEP).

Q: What is pre-exposure prophylaxis (PrEP)?
A: Pre-exposure prophylaxis (PrEP) is a medication taken by individuals who are at high risk for HIV to prevent HIV infection.

Q: Why is this form necessary?
A: This form is necessary to obtain consent from individuals who are seeking assistance from the Pre-exposure Prophylaxis Assistance Program.

Q: Who should use this form?
A: This form should be used by individuals who are seeking assistance from the Pre-exposure Prophylaxis Assistance Program in California.

Q: Is this form required to participate in the program?
A: Yes, this form is required to participate in the Pre-exposure Prophylaxis Assistance Program.

Q: Can I get assistance with pre-exposure prophylaxis (PrEP) medication through this program?
A: Yes, the Pre-exposure Prophylaxis Assistance Program provides assistance with obtaining pre-exposure prophylaxis (PrEP) medication.

Q: Are there any eligibility requirements?
A: Yes, there are eligibility requirements to participate in the Pre-exposure Prophylaxis Assistance Program. Please refer to the program guidelines for more information.

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Form Details:

  • Released on February 1, 2019;
  • The latest edition provided by the California Department of Public Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CDPH8733 by clicking the link below or browse more documents and templates provided by the California Department of Public Health.

Download Form CDPH8733 Pre-exposure Prophylaxis Assistance Program Consent Form - California

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  • Form CDPH8733 Pre-exposure Prophylaxis Assistance Program Consent Form - California, Page 1
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