Form DHCS7098 H Staying Healthy Assessment: Adult - California (Tagalog)

Form DHCS7098 H Staying Healthy Assessment: Adult - California (Tagalog)

This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California.

The document is provided in Tagalog. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the purpose of Form DHCS 7098 H?A: The purpose of Form DHCS 7098 H is to conduct a Staying Healthy Assessment for adult residents of California.

Q: Who is eligible to receive the Form DHCS 7098 H?A: Adult residents of California are eligible to receive Form DHCS 7098 H.

Q: What does the Staying Healthy Assessment involve?A: The Staying Healthy Assessment involves answering questions about your health and lifestyle.

Q: Do I need to fill out the Form DHCS 7098 H?A: Yes, if you are an adult resident of California, you are required to fill out the Form DHCS 7098 H.

Q: Can I get assistance in filling out the form?A: Yes, you can get assistance in filling out the Form DHCS 7098 H from your medical provider or county health department.

Q: What happens after I submit the form?A: After you submit the form, it will be reviewed by your medical provider and used to determine your eligibility for certain health programs.

Q: Is my information kept confidential?A: Yes, your information on the Form DHCS 7098 H is kept confidential and protected by state and federal privacy laws.

ADVERTISEMENT

Form Details:

  • Released on December 1, 2013;
  • The latest edition provided by the California Department of Health Care Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form DHCS7098 H by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form DHCS7098 H Staying Healthy Assessment: Adult - California (Tagalog)

4.4 of 5 (59 votes)
  • Form DHCS7098 H Staying Healthy Assessment: Adult - California (Tagalog)

    1

  • Form DHCS7098 H Staying Healthy Assessment: Adult - California (Tagalog), Page 2

    2

  • Form DHCS7098 H Staying Healthy Assessment: Adult - California (Tagalog), Page 3

    3

  • Form DHCS7098 H Staying Healthy Assessment: Adult - California (Tagalog), Page 1
  • Form DHCS7098 H Staying Healthy Assessment: Adult - California (Tagalog), Page 2
  • Form DHCS7098 H Staying Healthy Assessment: Adult - California (Tagalog), Page 3
Prev 1 2 3 Next
ADVERTISEMENT