Indiana Statutes
§ 16-41-19-4 — Affirmation
Indiana·Title 16 HEALTH·Art. 41 PUBLIC HEALTH MEASURES FOR THE·Ch. 19 Prevention and Treatment Programs: Provision of Free
The physician or advanced practice registered
nurse applying for free biologicals as provided in this chapter and IC 12-20-16-14 shall sign in ink the following affirmation printed on the
application form:
I solemnly affirm that the free biologicals applied for will be
administered to the person named above, and it is my belief after
inquiry that the person is financially unable to pay for the
biologicals.
[Pre-1993 Recodification Citation: 16-1-14-4.]
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Legislative History
As added by P.L.2-1993, SEC.24. Amended by P.L.262-2003,
SEC.8; P.L.129-2018, SEC.16.
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