- DHCS 8049 – County Attestation to Compliance with Drug Medi-CaL PSPP Corrective Action Plan (04/21)
- DHCS 8051 – CA Breast and Cervical Cancer Advisory Council Application for Appointment (05/20)
- DHCS 8052 – Hospice Notice of Election (07/23)
- DHCS 8470- Hearing Aid Coverage for Children Program Annual Eligibility Review Application (04/24)
- Alt: Arabic, Armenian, Chinese (Traditional), Farsi, Hindi, Hmong, Japanese, Khmer, Korean, Lao, Lu Mien (Mienh waac), Russian, Spanish, Tagalog, Ukrainian, Vietnamese
- DHCS 8474 – Medi-Cal Doula Additional Postpartum Services Recommendation (08/25)
- DHCS 8482 – Hearing Aid Coverage Provider Referral for Patient Enrollment (03/23)
- DHCS 8649 – Consent for Sterilization Form (04/25)
- Alt: Arabic, Armenian, Chinese (Traditional), Farsi, Hindi, Hmong, Japanese, Khmer, Korean, Lao, Lu Mien, Punjabi, Russian, Spanish, Tagalog, Thai, Ukrainian, Vietnamese
- DHCS 8711 – Hearing Aid Coverage for Children Program Application (06/21)
- DHCS 8712 – Medi-Cal Benefit Request (12/24)
- DHCS 8757 – Qualified Individual Assessment Report (08/25)
- DHCS 8758 – Qualified Individual Referral Form (08/25)
- DHCS 8760 – Behavioral Health Quality Improvement Program (BH-QIP) Program Funding Claim (10/21)
- DHCS 8765 A – Adult Screening Tool for Medi-Cal Mental Health Services (01/23)
- Alt: Arabic, Armenian, Chinese (Simplified), Chinese (Traditional), Farsi, Hmong, Khmer, Korean, Russian, Spanish, Tagalog, Vietnamese
- DHCS 8765 B – Transition of Care Tool for Medi-Cal Mental Health Services (01/23)
- DHCS 8765 C – Youth Screening Tool for Medi-Cal Mental Health Services (01/23)
- Alt: Arabic, Armenian, Chinese (Simplified), Chinese (Traditional), Farsi, Hmong, Khmer, Korean, Russian, Spanish, Tagalog, Vietnamese
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