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1. Select the Get Form option to start filling out.
2. Switch on the Wizard mode in the top toolbar to have extra tips.
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4. Ensure the data you fill in APPLICATION FOR INTERIM FEDERAL HEALTH PROGRAM COVERAGE is updated and accurate.
5. Include the date to the document using the Date function.
6. Select the Sign button and make an electronic signature. Feel free to use 3 available choices; typing, drawing, or uploading one.
7. Re-check each and every field has been filled in properly.
8. Select Done in the top right corne to save the file. There are various ways for receiving the doc. As an instant download, an attachment in an email or through the mail as a hard copy.

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