Get the free Florida Breast and Cervical Cancer Early Detection Program
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Florida Breast and Cervical
Cancer Early Detection
Program APPLICATION
PACKET
For questions regarding completion please call:Madonna Narcissa, Regional Coordinator
Florida Breast and Cervical Cancer
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How to fill out florida breast and cervical
How to fill out florida breast and cervical
01
To fill out the Florida Breast and Cervical Cancer Early Detection Program application, follow these steps:
02
Download the application form from the official Florida Department of Health website.
03
Carefully read all the instructions provided on the application form.
04
Begin filling out the personal information section, including your full name, date of birth, contact information, and social security number.
05
Provide information about your household size, income, and insurance coverage.
06
Fill in the section regarding your health history, including any past or current medical conditions related to breast or cervical cancer.
07
If applicable, provide details about your primary healthcare provider or clinic.
08
Sign and date the application form.
09
Gather any required supporting documentation, such as income verification or proof of residency.
10
Mail the completed application along with the supporting documents to the address mentioned on the application form or submit it online if applicable.
11
Wait for the notification from the Florida Department of Health regarding your eligibility and enrollment status.
Who needs florida breast and cervical?
01
The Florida Breast and Cervical Cancer Early Detection Program is available for individuals who meet the following criteria:
02
- Must be a resident of Florida.
03
- Must be a woman aged 50 to 64 for breast cancer screening or aged 21 to 64 for cervical cancer screening.
04
- Must have limited income and lack health insurance coverage or have insurance with high deductibles or co-pays.
05
- Must not be eligible for Medicaid or Medicare Part B within the past year.
06
It is recommended to consult the official Florida Department of Health website or contact the program directly for specific eligibility requirements and further information.
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What is florida breast and cervical?
Florida Breast and Cervical Cancer Early Detection Program offers free or low-cost mammograms, Pap tests, and pelvic exams to eligible women.
Who is required to file florida breast and cervical?
Women who meet the eligibility criteria set by the program are required to apply for Florida Breast and Cervical Cancer Early Detection services.
How to fill out florida breast and cervical?
To apply for the program, women can contact their local health department or call the Florida Breast and Cervical Cancer Early Detection Program toll-free hotline.
What is the purpose of florida breast and cervical?
The purpose of the Florida Breast and Cervical Cancer Early Detection Program is to detect breast and cervical cancer at an early stage when treatment is most effective.
What information must be reported on florida breast and cervical?
The program requires personal and medical information such as age, income, and medical history to determine eligibility for services.
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