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Health Check (Medicaid for Children)/ NC Health Choice (CHIP) Order Form for 20182019 EDUCATIONAL Palm Card (Orders mailed within 14 business days of receipt.)USES FOR EDUCATIONAL MATERIALS Display
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Health Check NC Health Choice is a program in North Carolina that provides health care coverage for children who do not qualify for Medicaid but come from families with limited income.
Parents or guardians of children enrolled in the Health Check NC Health Choice program are required to file this form to ensure their child's eligibility and continued enrollment.
To fill out the Health Check NC Health Choice form, you need to provide personal information about the child, income details of the family, and any relevant medical history or coverage information.
The purpose of Health Check NC Health Choice is to provide necessary health care services to uninsured children and to improve their access to preventative and immediate health care.
The form requires reporting personal identification information of the child, family income, household size, insurance details, and any previous health care coverage.
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