Patient Rights & Responsibilities

...800-537-7697 (TDD) Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html English: ATTENTION: If you speak ENGLISH, language assistance services, free of charge, are available to you. Call (312) 864-0185. Spanish: ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (312) 864-0185. Polish: UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer...

CareLink Program

...cash form Proof of Cook County Address • Utility bill i.e., gas, electric, water • Telephone bill • Bank Statement • Letter from a church Required Documents English Spanish Polish Room & Board Financial Assistance Statement English Spanish Polish Paid in Cash English Spanish Polish Self-Attestation Letter of Insurance English Spanish Polish Financial Assistance Applications English Spanish Polish Urdu Mandarin...

Governance

...please complete the form below. Register to receive Board and Committee Agendas by Email Name* First Last Phone* Phone Type* HomeMobileWork Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Title* Company Name* Email*...

Palak Shah

Languages spoken: English, Hindi, Gujarati

Medicaid Redetermination Information

...return envelope to: Central Scanning Office P.O. Box 19138 Springfield, IL 62763 Or Fax: 844-736-3563 Drop off your completed paperwork at a DHS Family Community Resource Center Redetermination Resources FAQs for Medicaid Members English Español Polski 中文 हिंदी العربية Русский FAQs for FQHCs/Providers English Español Polski 中文 हिंदी العربية Русский Redetermination Flyers English Español Polski 中文 हिंदी العربية Русский Social...

Board of Directors

...provide virtual or in-person public testimony at one of the CCH Board or Committee Meetings, or submit written testimony to be included in the official meeting record. Name of Person Providing Testimony* First Last Title and Company Name (if applicable) Phone* Email Address* Board or Committee Meeting (select one)* Board MeetingAudit and Compliance Committee MeetingFinance Committee MeetingHuman Resources Committee MeetingManaged...

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