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Forms: DHCS 0-11
Rov qab mus rau Forms Index
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DHCS 0001 (05/09) - Cov Neeg Asmeskas Cov Neeg Xam Xaj thiab Cov Neeg Qhab Asmeskas uas thov rau Medi-Cal yuav tsum muaj pov thawj ntawm pej xeem thiab tus kheej
Alt: Arabic, Armenian, Suav, Farsi, Hmong, Cambodian, Korean, Laotian, Russian, Spanish, Tagalog, Nyab Laj
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DHCS 0002 (01/08) - Cov Ntaub Ntawv Pov Thawj ntawm Kev Ua Neeg Xam Xaj thiab Kev Qhia Txog Tus Kheej - Cov Lus Qhia Tshiab rau cov neeg tau txais txiaj ntsig Medi-Cal uas yog neeg xam xaj Asmeskas lossis haiv neeg
Alt: Arabic, Armenian, Suav, Farsi, Hmong, Cambodian, Korean, Laotian, Russian, Spanish, Tagalog, Nyab Laj
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DHCS 0005 (02/08) - Tau txais cov ntaub ntawv pov thawj ntawm pej xeem thiab tus kheej
Alt: Arabic, Armenian, Suav, Farsi, Hmong, Cambodian, Korean, Laotian, Russian, Spanish, Tagalog, Nyab Laj
- DHCS 0007 (12/07) - Cov ntaub ntawv lees paub ua pej xeem thiab tus kheej
Alt: Arabic, Armenian, Suav, Farsi, Hmong, Cambodian, Korean, Laotian, Russian, Spanish, Tagalog, Nyab Laj
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DHCS 0008 (01/08) - Cov ntaub ntawv pov thawj ntawm Kev Ua Neeg Xam Xaj thiab Kev Qhia Txog Tus Kheej - Rau Cov Menyuam Yaus uas yog Neeg Xam Xaj Meskas lossis Neeg Qhab Asmeskas ua daim ntawv thov Heidhy Families/Medi-Cal Joint Application
Alt: Arabic, Armenian, Suav, Farsi, Hmong, Cambodian, Korean, Laotian, Russian, Spanish, Tagalog, Nyab Laj
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DHCS 0009 (09/07) - Daim ntawv pov thawj ntawm Tus Kheej rau US Citizen lossis National Children Under 18
Alt: Arabic, Armenian, Suav, Farsi, Hmong, Cambodian, Korean, Laotian, Russian, Spanish, Tagalog, Nyab Laj
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DHCS 0010 (01/08) - Daim ntawv pov thawj ntawm Tus Kheej rau Cov Neeg Asmeskas Cov Neeg Xam Xaj lossis Lub Tebchaws rau Cov Neeg xiam oob khab nyob hauv Institutional Care Facilities
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DHCS 0011 (06/08) - Cov ntaub ntawv pov thawj lees paub tias yog neeg xam xaj lossis cov ntaub ntawv qhia txog tus kheej
Alt: Arabic, Armenian, Suav, Farsi, Hmong, Cambodian, Korean, Laotian, Russian, Spanish, Tagalog, Nyab Laj
Hnub hloov tshiab kawg: 6/15/2023 4:03 PM