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State of California Health and Human Services Agency California Department of Public Health APPLICATION FOR HEALTH FACILITY/AGENCY CHANGE OF LOCATION This form is for Change of Location information
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What is application for health?
The application for health is a form used to apply for health insurance or medical assistance.
Who is required to file application for health?
Anyone who needs health insurance or medical assistance is required to file the application for health.
How to fill out application for health?
The application for health can be filled out online, by mail, or in person at a local health department or insurance office.
What is the purpose of application for health?
The purpose of the application for health is to determine eligibility for health insurance or medical assistance programs.
What information must be reported on application for health?
The application for health typically requires information such as income, household size, and any existing health insurance coverage.
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