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Get Masshealth Careplus

M Please take a few minutes to complete this questionnaire. We will keep this information private. We will only use your answers to give you the best care possible. Your answers will NOT affect your health insurance benefits. Your answers can improve the health care services you get. 1. Please fill out one assessment form for each new member. 2. You will need to have on hand: a. Your CeltiCare Health CarePlus insurance card number b. The names, phone numbers, and addresses of your doctor.

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