Form DHCS4073 Pre-enrollment Application - Child Health and Disability Prevention (Chdp) Program - California (Tagalog)

Form DHCS4073 Pre-enrollment Application - Child Health and Disability Prevention (Chdp) Program - 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 Form DHCS4073?
A: The Form DHCS4073 is the Pre-enrollment Application for the Child Health and Disability Prevention (CHDP) Program in California.

Q: What is the CHDP Program?
A: The CHDP Program is a program in California that provides preventive health and dental services to eligible children.

Q: Who is eligible for the CHDP Program?
A: Children from low-income families who meet certain eligibility requirements are eligible for the CHDP Program.

Q: What services does the CHDP Program provide?
A: The CHDP Program provides a range of preventive health and dental services, including check-ups, immunizations, vision and hearing tests, and dental screenings.

Q: How do I apply for the CHDP Program?
A: You can apply for the CHDP Program by completing the Form DHCS4073 and submitting it to the appropriate office.

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Form Details:

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

Download a printable version of Form DHCS4073 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form DHCS4073 Pre-enrollment Application - Child Health and Disability Prevention (Chdp) Program - California (Tagalog)

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  • Form DHCS4073 Pre-enrollment Application - Child Health and Disability Prevention (Chdp) Program - California (Tagalog), Page 1
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