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State of California Health and Human Services AgencyDepartment of Health Care Services
Child Health and Disability Prevention (CHIP) ProgramWAIVER OF HEALTH EXAMINATION FOR SCHOOL ENTRY FOR 1ST GRADE
CHILD
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How to fill out child health and disability
How to fill out child health and disability
01
Gather all necessary information about the child's health and disability.
02
Obtain the appropriate forms from the relevant government agency or healthcare provider.
03
Fill out the forms accurately and completely, ensuring all information is up to date.
04
Submit the completed forms along with any required documentation to the designated office or organization.
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Follow up with the agency or provider to ensure the application is processed in a timely manner.
Who needs child health and disability?
01
Children who have special health care needs or disabilities requiring additional support and services.
02
Parents or legal guardians of children with health and disability concerns who are seeking assistance or resources.
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What is child health and disability?
Child health and disability refers to medical conditions and disabilities that affect children.
Who is required to file child health and disability?
Parents or guardians of children with medical conditions or disabilities are required to file for child health and disability benefits.
How to fill out child health and disability?
To fill out child health and disability forms, parents or guardians must provide information about the child's medical condition or disability, along with any supporting documentation.
What is the purpose of child health and disability?
The purpose of child health and disability benefits is to provide financial assistance and support to families caring for children with medical conditions or disabilities.
What information must be reported on child health and disability?
Information such as the child's medical diagnosis, treatments, and healthcare providers must be reported on child health and disability forms.
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