Disability Coordinator Contact Form

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The Department of Managed Health Care (DMHC) is committed to providing you with accessible communication. Please use the form below to contact the DMHC Disability Coordinator with questions, request materials from the DMHC in an alternate format, or provide the DMHC with feedback.

Request Alternate Format Form

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If you would like to receive a response to your comments, please complete the following:

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