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Portsmouth City Health Department: Portsmouth, Ohio

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Ryan White Program Files

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Documents and forms for the Ohio HIV Drug Assistance Program/Health Insurance Premium Program/Spenddown Program.

Ohio HIV Drug Assistance Program Application Instructions
This file requires Microsoft Word or Word Viewer. Word Viewer 2003 can be downloaded from: http://support.microsoft.com/kb/891090
Ohio HIV Drug Assistance Program Application Form
This file requires Microsoft Word or Word Viewer. Word Viewer 2003 can be downloaded from: http://support.microsoft.com/kb/891090
OHDAP Formulary March 2008
This list is the current OHDAP Formulary through March 2008. This file requires Microsoft Excel or Excel Viewer. Excel Viewer 2003 can be downloaded from: http://www.microsoft.com/downloads/details.aspx?FamilyID=c8378bf4-996c-4569-b547-75edbd03aaf0&displaylang=EN
OHDAP Income Verification
This file requires Microsoft Word or Word Viewer. Word Viewer 2003 can be downloaded from: http://support.microsoft.com/kb/891090