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Form DHCS4073 Pre-enrollment Application - Child Health and Disability Prevention (Chdp) Program - California (Russian)
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 Russian. 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 used to apply for the Child Health and Disability Prevention (CHDP) Program in California.
Q: What is the CHDP Program?
A: The CHDP Program is a health and wellness program in California that provides preventive health assessments and services for eligible children.
Q: Who is eligible for the CHDP Program?
A: Children in California from birth up to 21 years old are eligible for the CHDP Program.
Q: What services does the CHDP Program provide?
A: The CHDP Program provides preventive health assessments, immunizations, vision and hearing screenings, and referrals to medical and dental care.
Q: How can I apply for the CHDP Program?
A: You can apply for the CHDP Program by filling out the DHCS4073 Pre-enrollment Application form.
Q: What information do I need to provide on the DHCS4073 Pre-enrollment Application?
A: You will need to provide information about your child's personal details, health history, and household income on the DHCS4073 Pre-enrollment Application.
Q: Is there a cost to participate in the CHDP Program?
A: No, there is no cost to participate in the CHDP Program. It is free for eligible children.
Q: How long does it take to process the DHCS4073 Pre-enrollment Application?
A: The processing time for the DHCS4073 Pre-enrollment Application can vary, but it usually takes a few weeks to receive a response.
Q: What should I do if my DHCS4073 Pre-enrollment Application is approved?
A: If your DHCS4073 Pre-enrollment Application is approved, you will receive a notification with instructions on how to access CHDP Program services for your child.
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.
