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This version of the form is not currently in use and is provided for reference only. Download this version of
Form CDPH8728
for the current year.
Form CDPH8728 AIDS Drug Assistance Program (Adap) Temporary Access Period (Tap) Request - California
What Is Form CDPH8728?
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 the CDPH8728 form?
A: The CDPH8728 form is the application for the AIDS Drug Assistance Program (ADAP) Temporary Access Period (TAP) Request in California.
Q: What is the ADAP TAP?
A: ADAP TAP stands for AIDS Drug Assistance Program Temporary Access Period. It provides temporary access to HIV-related medications.
Q: Who is eligible for the ADAP TAP in California?
A: Individuals who are enrolled in a Ryan White HIV/AIDS Program, have a confirmed HIV diagnosis, and meet income eligibility requirements can apply for ADAP TAP in California.
Q: What is the purpose of the ADAP TAP?
A: The purpose of ADAP TAP is to provide temporary access to HIV-related medications for individuals who are waiting for their ADAP enrollment to be processed.
Q: How long does the ADAP TAP last?
A: The ADAP TAP can last for up to 90 days, providing temporary coverage for HIV-related medications during the enrollment process.
Form Details:
- Released on January 1, 2020;
- 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 CDPH8728 by clicking the link below or browse more documents and templates provided by the California Department of Public Health.
