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  • Arizona Ryan White And Adap Application V08202014 Form

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Th/day/year) AKA (also known by these other names) Gender Male Female Ethnicity Hispanic Non-Hispanic Transgender -Male to female Transgender -Female to male Language Preference English Spanish home Race (choose all that apply) White Black or African American Native Hawaiian/Other Pacific Islander American Indian/Alaska Native Other: Asian Social Security Number (SSN) or Alien ID if no SSN.* Other Primary Phone # Type: MI Secondary Phone #: cell work OK to leave messages? Email Ad.

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In 1990, Congress enacted the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act—the legislation that created the Ryan White HIV/AIDS Program (RWHAP)—to improve the quality and availability of HIV care and treatment for low-income people with HIV.

The Maricopa County Department of Public Health's Office of Oral Health administers a dental insurance program for residents of Maricopa and Pinal County who are living with HIV/AIDS and have an income that is 400% or less of the Federal Poverty Income Guidelines.

The Maricopa County Adult Probation's Reach Out Program is aimed to help treat convicted substance abusers. The program is geared towards probationers that are serving a jail sentence. The process starts with a court order for assessment or by a referral from the court or your probation officer.

AIDS Drug Assistance Program (ADAP)

The Ryan White HIV/AIDS Program, first enacted in 1990, is the largest federal program designed specifically for people with HIV, serving over half of all those diagnosed. It is a discretionary, grant program dependent on annual appropriations from Congress.

What is this program? The Ryan White HIV/AIDS Program is a Federal program that provides HIV-related health services. The program works with cities, states, and local community-based organizations to provide services to more than half a million people each year.

The AIDS Drug Assistance Program ( ADAP ) helps ensure that people living with HIV and AIDS who are uninsured and under-insured have access to medication. Eligibility Criteria: Must be inside Arizona. Must be under 400% of the federal poverty level (FPL).

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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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
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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