Patient Incentive
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Gold Coast Health Plan Members, if you are 21 to 64 years of age and have not had a PAP, you may be able to receive a $25.00 gift card to Amazon, or Target, or Wal-Mart.
Limit one card per member per year. Schedule your PAP at West Ventura Medical Clinic (805-641-5600) before December 31, 2019. |
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Bring this form filled out to have the provider sign and then mail it in to:
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Gold Coast Health Plan
Attn: Quality Improvement P.O Box 9153 Oxnard, CA 93031-9826 |
Or our clinic can fax in your behalf:
1-805-248-7616 |
| 2_gchp_ccs_flyer_vcmc_pap_wv.pdf |
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Gold Coast Health Plan Members, if your 3-6-year-old child has not had a Well-Child Check-up, you may be able to receive a $15.00 gift card to Amazon, or Target, or Wal-Mart.
Limit one card per member per year. Schedule your Well-Child at West Ventura Medical Clinic (805-641-5600) before December 31, 2019. |
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Bring this form filled out to have the provider sign and then mail it in to:
|
Gold Coast Health Plan
Attn: Quality Improvement P.O Box 9153 Oxnard, CA 93031-9826 |
Or our clinic can fax in your behalf:
1-805-248-7616 |
| 3_gchp_w34_awc_vcmc_wv.pdf |
