LAC 48:I.13721
LAC 48:I.13721. Forms
Cite as La. Admin. Code tit. 48, pt. I, § 13721
A. The Department of Health and Hospitals, Office of Management and Finance, HIV Program Office has developed example forms that can be used in this program. These include client eligibility checklist and release of medical information form. In addition, a client service utilization report. While the specific forms do not need to be used, the information contained on the forms must be collected and provided to the department.