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  • Adap Application - Doh.dc.gov - Washington, District Of Columbia - Doh Dc

Get Adap Application - Doh.dc.gov - Washington, District Of Columbia - Doh Dc

APPLICATION FOR HEALTH SERVICES INCLUDING DC ADAP, COBRA, AND MEDICAID EXPANSION Administered by the District of Columbia Department of Health Please FAX this application and all supporting material.

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The application and its instructions are located on the THMP document page. If you have more questions or need assistance completing your application, call the THMP toll free at 800-255-1090. The THMP is the official AIDS Drug Assistance Program (ADAP) for the State of Texas.

Need HIV/AIDS medications. Have income at 400% or less of the Federal Poverty Level. Are uninsured or do not have adequate prescription coverage. Are not confined to a hospital, nursing home, hospice, or correctional facility.

202-399-7093 or 311.

The Colorado Drug Card is a free, state-sponsored prescription discount program open to all Colorado residents. There are no other eligibility requirements. Discounts average 30% but can be as much as 80% for some medications.

Eligibility and Enrollment Be HIV positive. Be a California resident. Be 18 or older. Have income at or below 500% of the Federal Poverty Level (FPL) ($67,950 per year for an individual)

Our responsibilities include identifying health risks; educating the public; preventing and controlling diseases, injuries and exposure to environmental hazards; promoting effective community collaborations; and optimizing equitable access to community resources.

The AIDS Drug Assistance Program (ADAP) provides HIV-related service and approved medications to more than half a million people in need annually working in cooperation with state, city and local organizations to: Help people living with HIV/AIDS without sufficient healthcare coverage or financial resources.

Eligibility Criteria: You are a Colorado resident. You are a person living with HIV/AIDS verifiable at CDPHE or from a doctor or testing facility. Your income is equal to or less than 500% of the Federal Poverty Level.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232