Survey Text

1980
1979
top
1980
Survey form view entire document:  text  image
e. What agency or program helps pay?

1 [] Medicaid
2 [] Medicare
3 [] Health insurance
[] Other - specify ____

top
1979
Survey form view entire document:  text  image
e. What agency or program helps pay?

1 [] Medicaid
2 [] Medicare
3 [] Health insurance
[] Other - specify ____