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HEALTH CARE FOR THE HOMELESS/FARMWORKER HEALTH PROGRAM (HCA/FH) Applicant Board Meeting Agenda San Mateo Medical Center 222 W. 39th Ave. 2nd floor (Classroom 1) San Mateo April 11, 2019; 9:00 11:00am
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01
Obtain the necessary forms from the San Mateo Medical Center or NHCHC.
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Fill out all required personal information, such as name, date of birth, address, and contact details.
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Provide your insurance information, if applicable.
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Specify any medical conditions, allergies, or medications you are currently taking.
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Indicate the reason for your visit and any specific concerns or symptoms.
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Complete any additional sections or questions as instructed.
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Review the filled-out form for accuracy and completeness.
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Sign and date the form as required.
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Submit the filled-out form to the designated department or staff member at San Mateo Medical Center or NHCHC.

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Anyone in need of medical services or healthcare assistance can benefit from San Mateo Medical Center or NHCHC. This includes individuals with acute or chronic illnesses, individuals requiring routine check-ups or vaccinations, individuals in need of specialized treatments or surgeries, pregnant women in need of prenatal care, children in need of pediatric care, individuals in need of mental health services, and individuals without health insurance or access to primary care providers.
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San Mateo Medical Center is a public hospital and clinic system that serves the residents of San Mateo County in California.
Individuals who have received medical services or treatment at San Mateo Medical Center are required to fill out the necessary paperwork.
To fill out the San Mateo Medical Center form, individuals need to provide their personal information, details of the medical services received, and any insurance information if applicable.
The purpose of the San Mateo Medical Center form is to collect important information about the medical services provided to patients and to ensure accurate billing and record-keeping.
The San Mateo Medical Center form typically requires information such as patient demographics, medical history, treatment received, and insurance details if applicable.
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