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Form DHCS4502 Chdp Laboratory Provider Application - California
What Is Form DHCS4502?
This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the DHCS4502 form?
A: The DHCS4502 form is the Chdp Laboratory Provider Application.
Q: What is Chdp?
A: Chdp stands for California Child Health and Disability Prevention program.
Q: Who can use the DHCS4502 form?
A: Laboratory providers in California can use the DHCS4502 form.
Q: What is the purpose of the DHCS4502 form?
A: The DHCS4502 form is used by laboratory providers to apply for participation in the Chdp program.
Form Details:
- Released on January 1, 2006;
- 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;
- Fill out the form in our online filing application.
Download a fillable version of Form DHCS4502 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
Download Form DHCS4502 Chdp Laboratory Provider Application - California
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