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Get the free Contact - California Health and Human Services - CA.gov - files medi-cal ca

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State of CaliforniaHealth and Human Services AgencyDepartment of Health Care ServicesWILL LIGHTHOUSE DIRECTORPROVIDER NAME ADDRESS 1 ADDRESS 2 CITY, STATE GAVIN NEWSOM GOVERNOR July 21, 2021, NPI
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Gather all necessary information such as your name, address, and contact information.
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It is a form that must be filed by certain individuals in California to report their contact information and health status.
All individuals residing in California who meet the criteria set by the state government.
The form can be filled out online or submitted by mail with accurate and up-to-date information.
The purpose is to ensure the state has updated contact information and health status for all individuals residing in California.
Contact information, current health status, recent travel history, and any potential exposure to infectious diseases.
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