TRIBAL HEALTH REFERRAL FORM

California Health Benefit Exchange

This government document is issued by California Health Benefit Exchange for use in California

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File Details: PDF (78.9 KB)
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https://www.google.com/url?client=internal-element-cse&cx=009854164935538441977:yzlo2be1knm&q=https://hbex.coveredca.com/tribal-consultation/PDFs/final-clinic-referral-form-2019.pdf&sa=U&ved=2ahUKEwivzfG_qKPyAhWJz4sKHZi0Bsg4ChAWMAl6BAgHEAE&usg=AOvVaw2J6L0V0nX2jS6Lffasx3x9

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