To
enroll in either Medi-Cal for Families or Healthy Families, print out and complete
the application below and send it to: Forms
:
Healthy
Families/ Medi-Cal for Families and Pregnant Women P.O. Box 138005 Sacramento,
CA 95813-9984
Please include with the completed application the following
documents: 1. A copy of your birth certificate or Proof of your immigration
status or a receipt from the INS verifying that you have applied to replace your
lost document. 2. Proof of deductions listed in Section 5 of the application. 3.
Proof of California residency (or proof of income). 4. If you are pregnant,
proof of pregnancy from a doctor or medical facility. 5. Proof of income. Please
send a copy of your most recent pay stub or a copy of last year's federal income
tax return
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