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Form DHCS4073 Pre-enrollment Application - Child Health and Disability Prevention (Chdp) Program - California (Armenian)
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 Armenian. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the DHCS4073 form?
A: The DHCS4073 form is a 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 health care program in California that provides preventive health services for children and youth.
Q: Who is eligible for the CHDP program?
A: Children and youth in California who meet certain income and age requirements are eligible for the CHDP program.
Q: What is the purpose of the DHCS4073 form?
A: The DHCS4073 form is used to apply for enrollment in the CHDP program and provide necessary information about the child.
Q: Is the DHCS4073 form available in Armenian?
A: Yes, the DHCS4073 form is available in Armenian for those who prefer to use that language.
Q: Are there any fees to enroll in the CHDP program?
A: No, there are no fees to enroll in the CHDP program. It is a free program.
Q: What are the benefits of the CHDP program?
A: The CHDP program provides free health check-ups, immunizations, dental screenings, and other preventive health services for eligible children and youth.
Q: How long does it take to process the DHCS4073 form?
A: The processing time for the DHCS4073 form may vary, but it is generally processed within a few weeks.
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.
