{"id":309,"date":"2014-05-08T14:56:01","date_gmt":"2014-05-08T18:56:01","guid":{"rendered":"https:\/\/marylandspdap.com\/how-to-apply\/forms\/"},"modified":"2026-03-13T15:00:45","modified_gmt":"2026-03-13T19:00:45","slug":"forms","status":"publish","type":"page","link":"https:\/\/marylandspdap.com\/es\/how-to-apply\/forms\/","title":{"rendered":"Formularios"},"content":{"rendered":"
Los siguientes formularios est\u00e1n disponibles en formato PDF, por lo que se necesita el programa Adobe Acrobat Reader para verlos. Si no tiene Acrobat Reader, puede descargarlo de manera gratuita de Adobe haciendo clic en el enlace a continuaci\u00f3n.<\/div>\n

\"reader\"<\/a><\/p>\n

Formulario para el representante autorizado<\/a>:<\/strong>\u00a0Debido a las Pr\u00e1cticas de privacidad establecidas en la Ley de Portabilidad y Responsabilidad de los Seguros M\u00e9dicos (HIPAA, por sus siglas en ingl\u00e9s), el SPDAP exige que cualquier persona que intente actuar como un representante de un miembro o solicitante debe aparecer en archivo como el representante autorizado. Para obtener una copia del Formulario para el representante autorizado, haga clic aqu\u00ed<\/a>.<\/p>\n

NOTA: Se prefiere solamente un representante autorizado por miembro o solicitante.<\/p>\n

Hoja de determinaci\u00f3n de ingresos<\/strong><\/a>:\u00a0Si est\u00e1 intentando determinar si usted o un ser querido puede ser elegible para acceder al Programa de Asistencia en Medicamentos Recetados para la Tercera Edad, use nuestra Hoja de determinaci\u00f3n de ingresos como gu\u00eda. Para obtener una copia de esta hoja, haga clic aqu\u00ed<\/a>.<\/p>\n

NOTA: Si bien esta hoja ser\u00e1 un buen indicador de su elegibilidad financiera, el personal a cargo de la inscripci\u00f3n al SPDAP revisar\u00e1 su solicitud para determinar si usted es elegible.<\/p>\n

Solicitud de inscripci\u00f3n<\/a><\/strong>: Para obtener una copia de la Solicitud de Inscripci\u00f3n SPDAP 2026, haga clic aqu\u00ed<\/a>.<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Los siguientes formularios est\u00e1n disponibles en formato PDF, por lo que se necesita el programa Adobe Acrobat Reader para verlos. Si no tiene Acrobat Reader, puede descargarlo de manera gratuita de Adobe haciendo clic en el enlace a continuaci\u00f3n. Formulario para el representante autorizado:\u00a0Debido a las Pr\u00e1cticas de privacidad establecidas en la Ley de Portabilidad […]<\/p>\n","protected":false},"author":1,"featured_media":38,"parent":229,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-309","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"\nFormularios | Maryland Senior Prescription Drug Assistance Program (SPDAP)<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/marylandspdap.com\/es\/how-to-apply\/forms\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Formularios | Maryland Senior Prescription Drug Assistance Program (SPDAP)\" \/>\n<meta property=\"og:description\" content=\"Los siguientes formularios est\u00e1n disponibles en formato PDF, por lo que se necesita el programa Adobe Acrobat Reader para verlos. 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