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Pomona California Form 12256: What You Should Know

M-F: 8:30 AM — 4:30 PM; Sat 10:30 AM — 1:30 PM. Contact: Mike Records, Medical Director 668 East Shields Avenue Acceptance Agent — County of Stanislaus MISSTATE, CA 95376., Fax. MISSTATE Maternity Centers Maternity CERTIFICATE OF NO HESITATION: MCH. FEE: 200.00. 100.00 of the charge will be reimbursed by the county for processing and issuance of the certificate. MISSTATES LAW AND SOCIAL SERVICES AGENCY MOTHER'S WORK CERTIFICATE/COVERAGE: MCH. FEE : 50.00. 75.00 of the charge will be reimbursed by the county for processing and issuance of the certificate. MILK MEDICAL CERTIFICATE FEE: 500.00. 400.00 of the charge will receive reimbursement from the county for processing and issuance of medical certificate. MILK MEDICAL CERTIFICATE/COVERAGE: 50.00. 20.00 of the charge will receive reimbursement from the county for processing and issuance of medical certificate. MILKSHAKE MEDICAL CERTIFICATE: 100.00. 25.00 of the charge will receive reimbursement from the county for processing and issuance of medical certificate. MILKSHAKE MEDICAL CERTIFICATE/COVERAGE: 50.00. 25.00 of the charge will receive reimbursement from the county for processing and issuance of medical certificate. MILITARY CARE CENTER MARY HURLEY, FP MEDICAL CERTIFICATE: 100.00. 0.00 of the charge will receive reimbursement from the county for processing and issuance of medical certificate.

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