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Full Name: Address1:THIS SECTION FOR APPLICANT:Address2: City State Zip: Email: Case Manager Email: Mail this form to the address at left. Applicant, do not fax this application to HousingWorks.
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Open the package containing the CareAssist Rapid ART Bridge.
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Follow the instructions provided with the device to properly fill out the necessary information.
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Once the CareAssist Rapid ART Bridge is filled out, it is ready to be used in ART testing.

Who needs careassist rapid art bridge?

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Individuals who are conducting ART testing and require a bridge device to facilitate the process.
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CareAssist Rapid ART Bridge is a financial assistance program for individuals who are in need of help with their HIV treatment costs.
Individuals who are receiving HIV treatment and need financial assistance with their treatment costs are required to file for CareAssist Rapid ART Bridge.
To fill out CareAssist Rapid ART Bridge, individuals can visit the official website of the program and follow the instructions provided for application.
The purpose of CareAssist Rapid ART Bridge is to provide financial assistance to individuals who require help with their HIV treatment costs.
Applicants must report their personal information, medical condition, treatment costs, and financial situation on CareAssist Rapid ART Bridge.
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