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State of CaliforniaHealth and Human Services Agency Department of Health Services Child Health and Disability Prevention (CHIP) Program WAIVER OF HEALTH EXAMINATION FOR SCHOOL ENTRY CHILD Nameless
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The state of California Health and is a form used to report health insurance information.
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Individuals who have health insurance coverage are required to file the state of California Health and form.
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The purpose of the state of California Health and form is to report health insurance information to the state government.
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Information such as the type of coverage, months covered, and the insurer's name must be reported on the state of California Health and form.
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