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Form DHCS4073 Pre-enrollment Application - Child Health and Disability Prevention (Chdp) Program - California (Korean)
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 Korean. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the DHCS4073 Pre-enrollment Application?
A: The DHCS4073 Pre-enrollment Application is a form for enrolling in the Child Health and Disability Prevention (CHDP) Program in California.
Q: What is the CHDP Program?
A: The CHDP Program is a free health care program in California for low-income and uninsured children and youth.
Q: Who can use the DHCS4073 Pre-enrollment Application?
A: Parents or legal guardians of children who meet the income and residency requirements can use the DHCS4073 Pre-enrollment Application.
Q: Can I apply for the CHDP Program if I have health insurance?
A: Yes, you can still apply for the CHDP Program even if you have health insurance.
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.
