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Get South Carolina Department Of Health And Human Services Family Planning Application Form

E my information with DHEC. Applicant s Signature Date Authorized Representative s Signature Date MAIL YOUR SIGNED FAMILY PLANNING APPLICATION TO THE LOCAL MEDICAID ELIGIBILITY OFFICE IN YOUR COUNTY. If you have questions or need help locating your local eligibility office, please call: 1-888-549-0820 (toll-free number) Gross Monthly Earned Income Standard Deduction Gross Unearned Income Child Care Deduction Net Family Income Income Limit - DHHS/DHEC USE ONLY - I have reviewed the sta.

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