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Get the free D H C S form 8646 Every Woman Counts E W C Data Request Form

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State of California Health and Human Services AgencyDepartment of Health Care ServicesEvery Woman Counts (ETC) Data Request Form Complete the two-page form and sign the two-page Public Use of Data
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DHCS stands for the Department of Health Care Services, a California government agency responsible for administering a variety of healthcare programs for low-income individuals and families.
Healthcare providers and facilities that participate in DHCS programs are required to file DHCS claims.
DHCS claims can be filled out online through the DHCS website or submitted through the mail.
The purpose of DHCS is to provide access to affordable healthcare for low-income individuals and families in California.
DHCS claims must include patient information, services provided, and billing details.
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