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.
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.
Form Details:
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.