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Adult HIV AIDS Confident Case Report Form Department of Health Doh Dc

Adult HIV AIDS Confident Case Report Form Department of Health Doh Dc

Use a Adult HIV AIDS Confident Case Report Form Department Of Health Doh Dc template to make your document workflow more streamlined.

VIII. 1 Medicaid 3 No coverage 2 Private insurance/HMO 4 Other Public Funding 9 Unknown 10 Medicare government program 11 ADAP 12 Alliance/Chartered Health 0 No Anticipated Due Date. AIDS INDICATOR DISEASE Candidiasis bronchi trachea or lungs NA Candidiasis esophageal Carcinoma invasive cervical Initial Date Lymphoma Burkitt s or equivalent term Lymphoma immunoblastic or equivalent term Lymphoma primary in brain Mycobacterium avium complex or M. Kansasii disseminated or extrapulmonary...
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