Tsev Cov Ntawv, Cov Cai, thiab Cov Ntawv Tshaj Tawm  Cov Ntawv Daim Ntawv Thov Kev Pab Medi-Cal (MCED) PM 100 & 200​​ 

Daim Ntawv Thov Kev Pab Medi-Cal (MCED) PM 100 & 200​​ 

Rov qab mus rau MCED Forms Main Page​​ 

Cov ntawv thov Medi-Cal Eligibility Division tau teev raws li cov tsiaj ntawv hauv qab no los ntawm tus lej ntawm daim ntawv thiab tej zaum yuav muaj lwm hom lus yog tias muaj. Cov ntawv sau thiab luam tawm PDF tuaj yeem ua tiav hauv online thiab luam tawm ua daim ntawv theej kom tau kos npe thiab xa ntawv lossis xa mus rau tus neeg ua haujlwm tsim nyog rau kev ua tiav.​​ 

PM 100 & 200 Forms:​​ 

PM 161 – Confidential Referral/Follow-Up Report​​ 
PM 171 A – Report of Health Examination for School Entry (Eng/Sp)​​ 
PM 171 B – Waiver of Health Examination for School Entry (Eng/Sp)​​ 
PM 177 – Daim Ntawv Qhia Txog Tus Muab Kev Pabcuam​​ 
PM 211 – Daim Ntawv Pom Zoo (Eng/Sp)​​