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County Health Programs
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General Assistance Medical Programs (GAMP)
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Provider Resources
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Forms Index
Forms Index
G
eneral
A
ssistance
M
edical
P
rogram
Index of Forms
General Assistance Medical Program and Emergency Medical Services
GAMP Clinic Poster
Verification List
Where to Apply
GAMP Application 2008
(Revised 2008)
GAMP Application Supplement
GAMP Emergency Services for Non-qualifying Aliens
McClears Access Form (For Providers)
Utilization Review
"General assistance Medical Program Home Care Authorization"
General assistance Medical Program DME Request
"GAMP Community Clinic Referral Authorization"
Request for Therapy
"
General Assistance Medical Program Requestfor Information Candidates for Comprehensive Cardiac Rehabilitation"
"GAMP Request for Admission/Continued Stay Authorization"
Title 19
Title 19 Write-off Request form
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