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This Form is used for notifying the California Department of Consumer Affairs (DCA) of address changes.

This form is used for submitting a quarterly report to the California Department of Consumer Affairs. It is necessary for businesses operating in California to provide this report detailing their activities and financial information for the specified quarter.

This document is for obtaining certification as an Associate Marriage and Family Therapist in California. It is used to certify completion of an in-state degree program.

This Form is used for submitting medical documentation for prior authorization through the Tribal Health Program in Arizona.

This form is used to request prior authorization for medical services under the Tribal Health Program in Arizona.

This type of document provides a profile for companies offering attendant care services in Arizona. It includes information about the company's background, services provided, and contact details.

This Form is used for enrolling healthcare providers in the state of Arizona. It is the official document required for providers to participate in state healthcare programs and receive reimbursement for services provided.

This form is used for requesting information for victims of crimes in Nova Scotia, Canada.

This type of document is an affirmation statement for external users of the Arizona Health Care Cost Containment System (AHCCCS).

This form is used for submitting a request to the American Indian Medical Home in Arizona. It serves as a cover sheet for faxing the application.

This form is used for new members to sign up for the American Indian Medical Home program in Arizona.

This document is a sign-up form for American Indian individuals who wish to become members of the Medical Home program in Arizona. The form is available in Spanish.

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