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Authori z Authorization for Recommendations and
Use this form to authorize an individual to use your education records as appropriate to provide requested information. It is your responsibility to identify
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Authorization to Release Records Form
This authorization or photocopy thereof will permit the above-named person(s) to inspect and discuss with the Assessor staff, information, and records in the
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Medi-Cal-Provider-Manual.pdf
This is the 2021 Molina Healthcare of California Medi-Cal Provider Manual. It includes eligibility, benefits, contact info, and policies. Serves Imperial, LA, Riverside, Sacramento, San Bernardino, and San Diego. Call (855) 322-4075 for a hard copy.
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