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How to fill out the Madaptap Form online
Completing the Madaptap Form online is an essential step in applying for the Transitional Assistance Program (TAP). This guide provides clear, step-by-step instructions to ensure that you fill out the form accurately and efficiently.
Follow the steps to successfully complete the Madaptap Form.
- Press the ‘Get Form’ button to obtain the Madaptap Form and open it in your preferred online document editor.
- Indicate the client’s HIV status by selecting 'Yes' or 'No' in the provided section.
- List all MADAP formulary medications currently prescribed to the client in the designated area, ensuring that you print legibly.
- Enter the prescribing clinician’s name and phone number in the relevant fields.
- Provide lab results not older than 12 months. Fill in the results for the last CD4 test and Viral Load test, along with their corresponding dates. If results are pending, specify the date of the most recent test.
- Circle the relevant HIV exposure category from the options provided. Make sure to choose only one.
- Attach the required supporting documentation. Indicate whether proof of income or a no-income verification form, and proof of residency are attached or will be sent within 30 days.
- The case manager should provide their signature, printed name, organization, contact details, and date at the end of the form.
- Once the form is fully completed, save your changes, and ensure that all necessary documents are included before downloading, printing, or sharing the form.
Complete your documents online with confidence and ensure you meet the requirements for TAP.
Mdtap, short for the Maryland Drug Assistance Program, helps residents access necessary medications. This program is vital for individuals who may find it challenging to afford their prescriptions. Utilizing the Madaptap Form ensures you receive the benefits you need quickly and efficiently.
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