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Form DHCS4073 Pre-enrollment Application - Child Health and Disability Prevention (Chdp) Program - California (Tagalog)
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.
FAQ
Q: What is the Form DHCS4073?
A: The Form DHCS4073 is the 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 program in California that provides preventive health and dental services to eligible children.
Q: Who is eligible for the CHDP Program?
A: Children from low-income families who meet certain eligibility requirements are eligible for the CHDP Program.
Q: What services does the CHDP Program provide?
A: The CHDP Program provides a range of preventive health and dental services, including check-ups, immunizations, vision and hearing tests, and dental screenings.
Q: How do I apply for the CHDP Program?
A: You can apply for the CHDP Program by completing the Form DHCS4073 and submitting it to the appropriate office.
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.
