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Click ‘Get Form’ to open the PeachCare for Kids application in the editor.
Begin with Section 1, where you will enter Parent/Guardian Information. Fill in details such as names, addresses, and contact numbers. Ensure accuracy as this is crucial for correspondence.
Move to Section 2 to provide Child Information. List all children under 19 years old, including their names, dates of birth, and citizenship status. If there are more than three children, attach a separate sheet.
In Section 3, indicate any insurance information related to the parents or children. Specify if either parent is employed by the State of Georgia and provide details about lost health insurance coverage if applicable.
Proceed to Section 4 to document income details. List all sources of income received by parents and children living at the address provided. Attach proof of income as required.
Complete Sections 5 through 7 by providing necessary documentation for proof of income and citizenship, answering questions about pregnancy, and signing the certification section.
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Applications | Georgia Department of Community Health
Applying for PeachCare for Kids is part of the overall Medical Assistance application process. When you apply, either online, by phone, by mail, or walking inRead more
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