DOH Form 410-044 HIV & Health Status Information - Early Intervention Program (Eip) Confidential Application - Washington

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).

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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.

Download DOH Form 410-044 HIV & Health Status Information - Early Intervention Program (Eip) Confidential Application - Washington

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