Haw. Code R. § 11-80-3 - Application for assistance

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.

Notes

Haw. Code R. § 11-80-3
[Eff. SEP 18 1981] (Auth: HRS Secs. 321-122, 321-123) (Imp: HRS Secs. 321-121, 321-122, 321-123)

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