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contactNCAHA Downloadable Forms
NCAHA has compiled the following example forms from other Access Networks, in order to aid groups that are in the development stages. We will continue to add to this list as the informaton becomes available. To see a list of Access Networks throughout the state, please visit our NC Access Networks.
Program Forms
- Overview of Project Access, Buncombe County
- Physicians Manual, Mecklenburg Medical Society
- Physician Renewal Letter
- Recruitment Letter
Screening and Enrollment Forms
- Clinic Screening From
- Enrollment Request
- 2007 Income Eligibility Guidelines
- Project Access ID Cards
- Household Income Definitions
- CHAN Client Referral
- English Proficiency Test