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 Cshcn Application  Form 2015

2015-2025 Form

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MANDA HALL: A family can apply to the Children with Special Health Care Needs services program at any time. However, it's very important to remember that, at this time, you have to renew your eligibility every 12 months. One of the forms that has to be filled out as part of an application and also on the renewal is the physician assessment form. The physician assessment form is completed by the physician or the dentist that is taking care of the child. This form is going to include information including the child's diagnosis, their functional needs, and also the services that are needed. An important part of this form that the physician fills out is the determination of urgent need for services, and this really needs to be filled out accurately and completely. Once again, our program, at this time, does have a waiting list, and when you are on the waiting list for services, you also have to renew this eligibility every 12 months. Children currently who are on our waitin

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