DHHS 3753 Migrant (Farmworker) Health Program Eligibility Application
You can download Purchase of Medical Care Forms or you can order them directly from Purchase of Medical Care Services.
To order forms:
Mail completed DHHS 3202 to:
Purchase of Medical Care Services DHHS Office of the Controller 1904 Mail Service Center Raleigh, North Carolina 27699-1904
Copyright © 1998-2004 Chronic Disease and Injury Control Section, Division of Public Health, North Carolina Department of Health and Human Services. All Rights Reserved.
