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Appendix 2NameNHSDoBLooked After Children Review Health Assessment CONFIDENTIALPart 2 To be completed by the assessing health professional and retained within the children health record. A copy of
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Gather necessary information such as child's personal information, parent/guardian information, and household income.
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Download or obtain a California Child Health and form.
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Fill out each section of the form accurately and completely.
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Attach any required documentation, such as proof of income or residency.
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Submit the completed form to the appropriate government agency or healthcare provider.

Who needs california child health and?

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Families with children in California who need to enroll their child in a health insurance program.
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Individuals seeking to provide their child with access to healthcare services and benefits.
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California Child Health and is a program that provides health coverage to children and youth in California.
Parents or legal guardians are required to file California Child Health and for their children.
California Child Health and can be filled out online or through a paper application provided by the state.
The purpose of California Child Health and is to ensure that children and youth have access to essential health care services.
Information such as the child's name, age, address, and household income must be reported on California Child Health and.
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