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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 CDPH8741
for the current year.
Form CDPH8741 The Provider Referral Form for Insured Clients - Pre-exposure Prophylaxis Assistance Program (Prep-Ap) - California
What Is Form CDPH8741?
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 CDPH8741 form?
A: The CDPH8741 form is the Provider Referral Form for Insured Clients for the Pre-exposure Prophylaxis Assistance Program (Prep-Ap) in California.
Q: What is the purpose of the CDPH8741 form?
A: The purpose of the CDPH8741 form is to facilitate referrals of insured clients for the Pre-exposure Prophylaxis Assistance Program (Prep-Ap) in California.
Q: What is the Pre-exposure Prophylaxis Assistance Program (Prep-Ap)?
A: The Pre-exposure Prophylaxis Assistance Program (Prep-Ap) is a program in California that provides assistance for insured clients in accessing pre-exposure prophylaxis (PrEP) medications.
Q: Who is eligible for the Pre-exposure Prophylaxis Assistance Program (Prep-Ap)?
A: Insured clients who meet the eligibility criteria are eligible for the Pre-exposure Prophylaxis Assistance Program (Prep-Ap).
Q: What is Pre-exposure Prophylaxis (PrEP)?
A: Pre-exposure prophylaxis (PrEP) is a medication regimen taken by people who are at high risk for HIV to reduce their chances of getting infected.
Form Details:
- Released on April 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 CDPH8741 by clicking the link below or browse more documents and templates provided by the California Department of Public Health.
Download Form CDPH8741 The Provider Referral Form for Insured Clients - Pre-exposure Prophylaxis Assistance Program (Prep-Ap) - California
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