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Get Pm 357 (699) Chdp Referral Form
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How to fill out the PM 357 (699) CHDP Referral Form online
Filling out the PM 357 (699) CHDP Referral Form online is a straightforward process. This guide provides clear, step-by-step instructions to help users complete the form accurately and efficiently.
Follow the steps to complete the PM 357 (699) CHDP Referral Form.
- Click the ‘Get Form’ button to access the form and open it in your document editor.
- Review the introductory section of the form, which typically includes important information about the purpose of the form and any instructions relevant to its completion.
- Fill in the required personal information accurately, ensuring that names, addresses, and contact details are entered without errors.
- Complete the referral section by providing necessary details about the individual being referred, including any specific health concerns or needs.
- If applicable, include any attached documentation that supports the referral, clearly marking and referencing each document where indicated in the form.
- Review all entries for accuracy and completeness. It is crucial to confirm that all required fields are filled out correctly.
- Once satisfied with the completed form, you can save the changes, download a copy, print, or share it as needed.
Complete your PM 357 (699) CHDP Referral Form online now.
How can I apply to be a CHDP provider? You can contact the CHDP Headquarters Provider Desk at 1-800-993-2437 and ask for an application. Our CHDP staff can assist you in filling out the application and answer any questions you may have. Call 2-1-1 for guidance to LA County health & human services programs.
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