1.0Division of Infectious Diseases/medicine/infdisBradley Olson/medicine/infdis/author/bradley-olson/rich600338<blockquote class="wp-embedded-content" data-secret="zrvcWIP3NV"><a href="/medicine/infdis/patient-care/forms/">Forms</a></blockquote><iframe sandbox="allow-scripts" security="restricted" src="/medicine/infdis/patient-care/forms/embed/#?secret=zrvcWIP3NV" width="600" height="338" title="“Forms” — Division of Infectious Diseases" data-secret="zrvcWIP3NV" frameborder="0" marginwidth="0" marginheight="0" scrolling="no" class="wp-embedded-content"></iframe><script type="text/javascript"> /* <![CDATA[ */ /*! This file is auto-generated */ !function(d,l){"use strict";l.querySelector&&d.addEventListener&&"undefined"!=typeof URL&&(d.wp=d.wp||{},d.wp.receiveEmbedMessage||(d.wp.receiveEmbedMessage=function(e){var t=e.data;if((t||t.secret||t.message||t.value)&&!/[^a-zA-Z0-9]/.test(t.secret)){for(var s,r,n,a=l.querySelectorAll('iframe[data-secret="'+t.secret+'"]'),o=l.querySelectorAll('blockquote[data-secret="'+t.secret+'"]'),c=new RegExp("^https?:$","i"),i=0;i<o.length;i++)o[i].style.display="none";for(i=0;i<a.length;i++)s=a[i],e.source===s.contentWindow&&(s.removeAttribute("style"),"height"===t.message?(1e3<(r=parseInt(t.value,10))?r=1e3:~~r<200&&(r=200),s.height=r):"link"===t.message&&(r=new URL(s.getAttribute("src")),n=new URL(t.value),c.test(n.protocol))&&n.host===r.host&&l.activeElement===s&&(d.top.location.href=t.value))}},d.addEventListener("message",d.wp.receiveEmbedMessage,!1),l.addEventListener("DOMContentLoaded",function(){for(var e,t,s=l.querySelectorAll("iframe.wp-embedded-content"),r=0;r<s.length;r++)(t=(e=s[r]).getAttribute("data-secret"))||(t=Math.random().toString(36).substring(2,12),e.src+="#?secret="+t,e.setAttribute("data-secret",t)),e.contentWindow.postMessage({message:"ready",secret:t},"*")},!1)))}(window,document); /* ]]> */ </script> Per Ryan White federal and state requirements, it is now required that all patients complete financial eligibility information to receive services from our medical team (medical care, nursing, case management, financial counseling, social work services, therapy and medical case management). The following items are required and if not received you will be billed for all … Read more/medicine/infdis/wp-content/uploads/sites/1276/2022/04/patient-care.png