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  • Family Pact Application Spanish

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State of CaliforniaHealth and Human Services Agency Department of Health Care Services PROGRAMAS DE ACCESO A LA SALUD CERTIFICACIN DE ELEGIBILIDAD DEL CLIENTE (CEC) PARA EL PROGRAMA FAMILY PACT Nmero.

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Your HAP card is good for one year and will need to be renewed every year. To make sure there is no gap in your benefits, you can apply to renew your card after 10 months.

Any pharmacy in California, such as Safeway, Walgreens, CVS, , etc., can fill your Family PACT prescription. Bring your HAP card to the pharmacy when you go to drop off or pick up your prescription.

Family PACT is California's innovative approach to provide comprehensive family planning services to eligible low income (under 200% federal poverty level) residents. Family PACT serves 1.1 million income eligible Californians of childbearing age through a network of 2,200 public and private providers.

The Family PACT Program only covers family planning and limited family planning related services, but you may have other health care needs. You may be eligible for health coverage through Medi-Cal or Covered California (phone number: 1-800-300-1506).

You will need to fill out a form called the Client Eligibility Certification (CEC) form. Talk to your provider if you have any questions about the form. If you are eligible, you can become a Family PACT client the same day. It's that simple!

You can use the Family PACT program at various clinics, doctors' offices, pharmacies, etc. across the state of California, as long as the provider you go to accepts the program.

To sign up for Family PACT, visit your local Planned Parenthood health center. Fill out the form. It takes just a few minutes. If you qualify, we will give you a card called the HAP (Health Access Programs) card.

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© Copyright 1997-2025
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3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232