Registration Form - New Hampshire Syringe Services Program - New Hampshire

Registration Form - New Hampshire Syringe Services Program - New Hampshire

Registration Form - New Hampshire Syringe Services Program is a legal document that was released by the New Hampshire Department of Health and Human Services - a government authority operating within New Hampshire.

FAQ

Q: What is the New Hampshire Syringe Services Program?
A: The New Hampshire Syringe Services Program is a registration form for individuals who want to participate in the program.

Q: What is the purpose of the Syringe Services Program?
A: The Syringe Services Program aims to prevent the transmission of HIV/AIDS, hepatitis C, and other bloodborne infections among people who use injection drugs.

Q: Who can participate in the program?
A: Any individual who uses injection drugs can participate in the program.

Q: What services are provided by the program?
A: The program offers access to sterile syringes, safe disposal of used syringes, HIV/HCV testing, overdose prevention education, and referrals to addiction treatment and other healthcare services.

Q: How do I register for the program?
A: You can register for the program by completing the registration form.

Q: Is there a cost to participate in the program?
A: No, participation in the program is free of charge.

Q: Is the program confidential?
A: Yes, the program maintains strict confidentiality to protect the identities of program participants.

Q: Can I remain anonymous if I register for the program?
A: Yes, you can choose to remain anonymous when registering for the program.

Q: Are there any age restrictions to participate in the program?
A: No, there are no age restrictions to participate in the program.

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Form Details:

  • Released on July 1, 2017;
  • The latest edition currently provided by the New Hampshire Department of Health and Human Services;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Health and Human Services.

Download Registration Form - New Hampshire Syringe Services Program - New Hampshire

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