Below are the documents and forms for the Ohio HIV Drug Assistance Program/Health Insurance Premium Program/Spenddown Program.  All documents and forms are offered in Microsoft Word or Excel. Click the respective format to the right of each document or form title to download the file.  For optimum performance, right click on the document and choose to "save" the document to a folder on your computer or network.

 

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 DOCUMENT/FORM

FORMAT

Ohio HIV Drug Assistance Eligibility Guidelines (updated 2009)

Microsoft Word

 

 

Ohio HIV Drug Assistance
Program Application Instructions

Microsoft Word

 

 

Ohio HIV Drug Assistance
Program Application

Microsoft Word

   
Ohio HIV Drug Assistance
Program Application Income Verification (updated 2009)
Microsoft Word
   
Ohio HIV Drug Assistance
Formulary (updated 2009)
Microsoft Excel