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Alaska Alternate Service Packet, SHC-PAC2

Category:
Alaska Statewide - Fairbanks - Small Claims
State:
Alaska
Control #:
AK-SHC-PAC2
Format:
PDF
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Description

Alternate Service Packet, SHC-PAC2 The Alaska Alternate Service Packet, SHC-PAC2, is a packet of documents and forms related to the State of Alaska's Health Care Program. It is intended to provide an alternate means of service for individuals who are unable to use the standard means of service due to physical or mental disability. The packet contains the following documents and forms: a Health Care Program Application, a Health Care Program Eligibility Statement, a Health Care Program Authorization Form, a Health Care Program Enrollment Form, a Health Care Program Authorization of Release of Information Form, and a Health Care Program Change of Status Form. The packet also includes instructions for completing the forms, as well as a cover letter. There are two types of Alaska Alternate Service Packets, SHC-PAC2: the Standard Packet, which contains the forms listed above, and the Special Needs Packet, which includes additional forms and documents to assist individuals with special needs.

The Alaska Alternate Service Packet, SHC-PAC2, is a packet of documents and forms related to the State of Alaska's Health Care Program. It is intended to provide an alternate means of service for individuals who are unable to use the standard means of service due to physical or mental disability. The packet contains the following documents and forms: a Health Care Program Application, a Health Care Program Eligibility Statement, a Health Care Program Authorization Form, a Health Care Program Enrollment Form, a Health Care Program Authorization of Release of Information Form, and a Health Care Program Change of Status Form. The packet also includes instructions for completing the forms, as well as a cover letter. There are two types of Alaska Alternate Service Packets, SHC-PAC2: the Standard Packet, which contains the forms listed above, and the Special Needs Packet, which includes additional forms and documents to assist individuals with special needs.

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