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Proof
of identity (CA. ID or CA. Drivers License, U.S. Passport
or Veteran’s Administration Card). |
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Proof
of Tehama County Residency (Current license with correct physical
address,
recent utility bill/or rental/mortgage receipt). |
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A
Licensed California Doctor’s documentation of patient’s
medical records
(DHS form 9044. No copies - originals only). |
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$52.42
for the ID Card
(Payment by Money Order or Cash only. Fee is non-refundable.)
If the applicant is a current MediCal beneficiary the fee is reduced
to $26.21* |
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