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  1. Apply faster online. What you may need to apply. Why do we ask for this. • Use this application to apply for anyone in your family. • Apply even if you or your child already has health coverage. You could be eligible for lower-cost or free coverage. • If you’re single, you may be able to use a short form. Visit HealthCare.gov.

  2. • Use this application to apply for anyone in your family. • Apply even if you or your child already has health coverage. You could be eligible for lower-cost or free coverage. • If you’re single, you may be able to use a short form. Visit HealthCare.gov. • Families that include immigrants can apply. childYou can apply for your

  3. Step 1. Fill out the application. Division . person for whom you are applying is eligible for benefits. Stamps or TANF. receive the application with your name, address, and signature on it. Community Outreach Services. For more information about Community Outreach Services, please visit our website at: http://www.dfcs.dhr.georgia.gov or call 1 ...

  4. Below you will find the listing of information specifically related to being a provider in our system, which includes disability-specific applications to become a provider for DBHDD, and disability-specific instructions for completing the application.

  5. DBHDD: Provider Recruitment and Application for Developmental Disabilities Services List below the Waiver Services that you are applying to provide and the number of individuals to be served in each Service.

  6. GEORGIA DEPARTMENT OF HUMAN SERVICES. Division of Family and Children Services. Form Approved. OMB No. 0938-1191. Assistance with Completing this Application. You can choose an authorized representative. matters related to this application, including getting in.

  7. Consumers and families have choices about MHDDAD services through: • Participation in designing the MHDDAD service system; • Full participation in development of their service plan; • Selection of service providers, location of services and other factors related to implementation of the service plan; and

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