ATTESTATION FORM | DHR Planning Council

top of page

Home
How to Join the Council
Meetings and Documents
Calendar
Data and Training
More

Use tab to navigate through the menu items.

a1 dhrpc-blk_title-logo_9-20-24.png

ATTESTATIONS

First Name

Last Name

Email

Phone

I understand that DHRPC meetings are documented and open to the public, and that I may disclose personal information of my own volition. However, I cannot share personal health information that includes identifying characteristics to others.

This submitted form serves as my attestation that I have received and read the terms of the DHRPC Disclosure Agreement.

This submitted form serves as my attestation that I have received and read the terms of the DHRPC Confidentiality Agreement.

© 2024 by Denver HIV Resources Planning Council

Contact the Denver HIV Resources Planning Council

Your details were sent successfully!

©2024 by Denver HIV Resources Planning Council

bottom of page