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Request for Continuity of Care Services Blue Shield of California provides continuity of care services to new and current members of a Blue Shield of California plan. As of January 1, 2018, there
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Begin by providing your personal information such as your name, address, contact details, and date of birth.
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Specify the reason for filling out the application, which is to ensure continuity of care.
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Mention any existing medical conditions or allergies that need to be taken into consideration.
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Include details of your previous healthcare provider or clinic, if applicable.
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List any specific preferences or requirements you have regarding your healthcare.
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c13095-mem-ff12-17mandates-continuityofcareapplication is a form used to ensure the continuity of care for individuals.
Healthcare providers and facilities are required to file c13095-mem-ff12-17mandates-continuityofcareapplication.
You can fill out c13095-mem-ff12-17mandates-continuityofcareapplication by providing the required information about the individual's care needs and providers.
The purpose of c13095-mem-ff12-17mandates-continuityofcareapplication is to ensure that individuals receive continuous care and support from their healthcare providers.
c13095-mem-ff12-17mandates-continuityofcareapplication requires information about the individual's medical history, current care providers, and treatment plans.
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