Form HEA0172 Ryan White Part B Program Application - Ohio

Form HEA0172 Ryan White Part B Program Application - Ohio

What Is Form HEA0172?

This is a legal form that was released by the Ohio Department of Health - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the HEA0172 Ryan White Part B Program Application?
A: The HEA0172 Ryan White Part B Program Application is a form used to apply for funding under the Ryan White Part B Program in Ohio.

Q: What is the Ryan White Part B Program?
A: The Ryan White Part B Program is a federal program that provides funding for medical care and support services for individuals living with HIV/AIDS.

Q: Who is eligible to apply for the Ryan White Part B Program in Ohio?
A: Individuals and organizations in Ohio that provide HIV/AIDS care and support services are eligible to apply for the Ryan White Part B Program.

Q: What kind of services does the Ryan White Part B Program fund?
A: The Ryan White Part B Program funds a variety of services including medical care, medication assistance, case management, mental health and substance abuse counseling, and transportation.

Q: How can I access the HEA0172 Ryan White Part B Program Application?
A: The HEA0172 Ryan White Part B Program Application can usually be accessed through the Ohio Department of Health or the local Ryan White Part B Program office.

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Form Details:

  • Released on January 1, 2018;
  • The latest edition provided by the Ohio Department of 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 HEA0172 by clicking the link below or browse more documents and templates provided by the Ohio Department of Health.

Download Form HEA0172 Ryan White Part B Program Application - Ohio

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