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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 CDPH8723
for the current year.
Form CDPH8723 Client Attestation - AIDS Drug Assistance Program (Adap) and Pre-exposure Prophylaxis Assistance Program (Prep-Ap) - California
What Is Form CDPH8723?
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 CDPH8723 Client Attestation form?
A: The CDPH8723 Client Attestation form is a document for the AIDS Drug Assistance Program (ADAP) and Pre-exposure Prophylaxis Assistance Program (Prep-AP) in California.
Q: What does ADAP stand for?
A: ADAP stands for AIDS Drug Assistance Program.
Q: What does Prep-AP stand for?
A: Prep-AP stands for Pre-exposure Prophylaxis Assistance Program.
Q: Who is the form for?
A: The form is for clients applying for ADAP or Prep-AP in California.
Q: What is the purpose of the form?
A: The form is used to collect client attestation information and ensure eligibility for ADAP and Prep-AP.
Q: Are there any fees associated with ADAP and Prep-AP?
A: ADAP and Prep-AP services are provided at no cost to eligible clients.
Q: What information is required on the form?
A: The form requires personal and financial information, as well as client attestation regarding residency and commandery.
Form Details:
- Released on December 1, 2022;
- 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 CDPH8723 by clicking the link below or browse more documents and templates provided by the California Department of Public Health.
