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Enrollment and/or Re enrollment into the TCM Program Request Resubmit Forms To: Department of Health Care Services Safety Net Financing Division Targeted Case Management Unit P. O Box 997436, MS 4603
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To fill out enrollment and/or re-enrollment, follow these steps:
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Collect all necessary documents, such as personal identification, proof of residence, and previous academic records.
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Obtain the enrollment or re-enrollment form from the respective institution or organization.
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Submit the completed form and documents to the designated authority or office.
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Pay any applicable fees, if required.
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Follow up with the institution or organization to ensure the enrollment/re-enrollment process is complete.
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Attend any orientation or registration sessions as instructed by the institution.

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Enrollment and/or re-enrollment is needed by individuals who:
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- Want to pursue a new program or course of study in the same institution.
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- Wish to enroll in a specific program or course offered by an institution.
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Enrollment and/or re-enrollment is the process of signing up or re-signing up for a program, service, or membership.
Individuals who wish to participate in the program, service, or membership are required to file enrollment and/or re-enrollment.
To fill out enrollment and/or re-enrollment, individuals must complete the required forms and provide accurate information.
The purpose of enrollment and/or re-enrollment is to ensure that individuals are properly registered and have access to the benefits of the program, service, or membership.
Typically, information such as personal details, contact information, payment details, and any other relevant information may need to be reported on enrollment and/or re-enrollment forms.
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