afc urgent care registration
MassHealth Adult Foster Care Member Transfer Form
The purpose of this form is to confirm the MassHealth members consent to transfer their care. Directions for the intaking AFC provider completing this form:
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Repair Form
An estimate will be provided before any work is completed. We will email you with a quote for approval. We accept PO#s or credit cards for payments.
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Affordable Care Act Form (AFC)
The official policy and commitment of Bethel University is not to discriminate on the basis of race, color, national or ethnic origin, age, gender, or
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