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.
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).
Form Details:
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.