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PETE WILSON, Governorate OF CALIFORNIAHEALTH AND WELFARE AGENCYDEPARTMENT OF HEALTH SERVICES 714/744 P STREET BOX 942732 P.O.SACRAMENTO, CA942347320(916) 6572941TO:October 28, 1994All All All All

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Schedule for form medi-cal is a document that must be filled out to report additional information for the Medi-Cal application.

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Individuals who are applying for or receiving benefits through Medi-Cal may be required to file a schedule for form medi-cal.

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