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PDF CCS Application Form 2023

Preference will be given to applications that align to the Hastings District Council Toi-Tu Arts Strategy The Toi-Tu Arts Strategy was developed to support 

PDF CCS Application Form Service Required

Children's Contact Service requires Application Forms from both parents/carers to be completed before the application can be progressed on the waiting list

PDF Ccs Application Form

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PDF Application Form

The CCS requires a separate application form to be completed by each parent or significant other ▫ Completed application forms should be returned to the 

PDF APPLICATION TO DETERMINE CCS PROGRAM ELIGIBILITY

Once the application is completed mail it to your county CCS office (see page 6) Remember to sign and date the form Section A: Applicant Information (” 

  • ​How to Apply

    ​How to Apply

    1complete the English CCS Application or Spanish CCS Application​​ and return it to your county CCS office.2give CCS all of the information requested so CCS can determine if your family qualifies.3apply to Medi-Cal if CCS asks you to.

  • What are CCS conditions?

    CCS - What are Eligible Medical Conditions? Answer: Conditions involving the heart (congenital heart disease, rheumatic heart disease) Neoplasms (cancers, tumors) Diseases of the blood (hemophilia, sickle cell anemia)

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