Insuring Kids, LLCHealthy Families Medi-Cal
   ... assisting Families, One Child at a Time
 

Help-a-Family™ Referral

As part of our ongoing community outreach we actively seek your assistance in helping families become aware of Healthy Families and Medi-Cal programs and services.

By providing basic contact information we will send your friend or family member a quick email regarding our services. You will also be entered in our quarterly drawing for a $50.00 Visa Gift Card. (Regardless if your referral completes an application or even visits our site)

 

Your Name:  
Your Email:  
Friends Name:  
Friends Email:  
Friends Phone:  
Personal Message:
(optional)		  

 

DISCLAIMER: To protect the privacy of individuals your information will not be exchanged with your friend (except personal message contents). No additional information will be provided to either you or the applicant in relation to this process.
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