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For: Single Applicants
Please complete the below Medi-Cal Assessment before booking an appointment. You will be Booking a Phone Appointment to discuss your completed Assessment. Please proceed with the assessment only if you do Not currently have Medi-Cal coverage.
The first few lines of the assessment is for the contact information of the person filling out the assessment. The remainder of the form is for information on the Medi-Cal Applicant.
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