To obtain an application you can come to our Administration Office at 3890 Railroad Avenue, Pittsburg, CA 94565 or you can contact us at (925) 473-2000 and we can fax you an application.Once you obtain an application and have filled out the forms please drop it off at the Administration Office with the following documents in order to start processing: Parents Income Child's Birth Verification Child's Immunization Card Health and Dental Insurance Name (if any) Health and Dental Insurance Number (if any) Name of Doctor and Dentist, address and phone #'s
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