HAR §11-80-3

HAR §11-80-3. Application for assistance

Last amended: 1981Length: 52 wordsOfficial source

Cite as Haw. Code R. § 11-80-3

Applicants shall complete a financial profile form provided by the State department of health and shall submit a financial apportionment form completed by a physician and the financial registar or medical social worker of the hospital involved. [Eff. SEP 18 1981] (Auth: HRS Secs. 321-122, 321-123) (Imp: HRS Secs. 321-121, 321-122, 321-123)
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