Hla mus rau Cov Ntsiab Lus Tseem Ceeb
Qhib hom nkag tau yooj yim dua
Tua tawm hom siv tau ntau dua
Hla mus rau Cov Ntsiab Lus Tseem Ceeb
Medi-Cal Cov Tswv Cuab:
Khaws koj qhov kev pab them nqi kho mob
. Nkag mus rau
koj tus as-qhauj
lossis tiv tauj
koj lub nroog chaw ua haujlwm
kom hloov kho koj cov ntaub ntawv.
Tseem ceeb
Koj puas tau tso npe rau hauv Medi-Cal? Koj cov ntaub ntawv tiv tauj puas tau hloov pauv hauv ob xyoos dhau los? Muab koj lub nroog lub chaw lis haujlwm hauv koj lub nroog koj cov ntaub ntawv tiv tauj tshiab kom koj tuaj yeem nyob twj ywm.
Nrhiav koj lub county office.
Tsev
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Tsev
Hais txog DHCS
CA.gov
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Tsev
Kev pabcuam
Cov neeg
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Txoj Cai &
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Nrhiav
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Page Content
Forms: DHCS 1000
DHCS 1011 (11/22) - Daim Ntawv Qhia Peb Lub Hlis rau Kev Kho Mob Ntsws thiab Psychosurgery Tswj
DHCS 1012 (12/22) - Daim Ntawv Flexibility Program rau Mental Health Rehabilitation Center
DHCS 1013 (12/22) - Daim Ntawv Flexibility Program rau Psychiatric Health Facility
DHCS 1735 Medi-Cal (M/C) Certification Transmittal (09/2014)
DHCS 1736 Daim Ntawv Pov Thawj Ua Haujlwm Hauv Nroog thiab Ua Haujlwm (09/2014)
DHCS 1737 Daim Ntawv Tshawb Fawb Txog Tus Kheej Hauv Nroog (09/2014)
DHCS 1746 Director's Designee Information
DHCS 1800 (MH 300): Electroconvulsive Treatment (ECT), Daim Ntawv Pom Zoo Pom Zoo
DHCS 1800 SP: Electroconvulsive Treatment (ECT), Daim Ntawv Pom Zoo Pom Zoo (Spanish)
DHCS 1801 (MH 302): Daim Ntawv Thov Kev Ntsuas, Kev Ntsuas, thiab Kev cuam tshuam txog kev kub ntxhov lossis qhov chaw rau kev tshuaj xyuas thiab kev kho mob
DHCS 1801 SP: Daim ntawv thov txog li 72-teev Kev Ntsuam Xyuas, Kev Ntsuam Xyuas, thiab Kev cuam tshuam txog kev kub ntxhov lossis qhov chaw rau kev ntsuam xyuas thiab kev kho mob (Spanish)
DHCS 1802 (MH 303): Involuntary Patient Advisment
DHCS 1802 SP: Involuntary Patient Advisement (Spanish)
DHCS 1803 (MH 306): Tus Neeg Mob Txoj Cai Tsis Pom Zoo - Txhua hli Talley
DHCS 1804 (MH 307): Tsis kam lees txoj cai / cais tawm & txwv tsis pub - Txhua hli
DHCS 1805 (MH 308): Tsis kam lees txoj cai / cais tawm & txwv tsis pub - Peb Hlis
DHCS 1806 (MH 309): Convulsive Treatments Administered - Daim Ntawv Qhia Peb Hlis (siv DHCS 1011)
DHCS 1807 (MH 560): Kev tso cai tso tawm cov ntaub ntawv tiv thaiv kev noj qab haus huv thiab cov ntaub ntawv tsis pub lwm tus paub
DHCS 1807 SP: Kev tso cai tso tawm cov ntaub ntawv tiv thaiv kev noj qab haus huv thiab cov ntaub ntawv tsis pub lwm tus paub (Spanish)
DHCS 1808 (MH 1760):
Daim ntawv ceeb toom ntawm Certification for Intensive Treatment Pursuant to Section 5250 (14 DaysIntensive Treatment) los yog 5270.15 (Ntxiv 30 Hnub Intensive Treatment for Grave Disability) ntawm Welfare and Institutions Code
DHCS 1808 SP: Daim Ntawv Ceeb Toom Txog Kev Kho Mob hnyav Raws li Tshooj 5250 (14 DaysIntensive Treatment) lossis 5270.15 (Ntxiv 30 Hnub Intensive Treatment for Grave Disability) ntawm Welfare and Institutions Code (Spanish)
DHCS 1809 (MH 1761): Daim Ntawv Ceeb Toom Txog Kev Pom Zoo rau Kev Kho Mob Ntxiv 14 Hnub
DHCS 1810: Cov Khoom Muag ntawm Lub Nroog 5150 Cov Chaw Tsim Nyog
DHCS 1811 (MH 5671): Kev tso cai tso tawm cov ntaub ntawv tus neeg mob
DHCS 1812 (MH 5756): Daim ntawv thov tuaj yeem nkag rau cov neeg xiam oob khab
DHCS 1813 Daim Ntawv Thov Kev Tso Cai - Mental Health Rehabilitation Center (MHRC)
DHCS 1814 Daim Ntawv Thov Kev Tso Cai - Psychiatric Health Facility (PHF)
DHCS 1819 Mental Health Services Act (MHSA) Prudent Reserve Assessment/Reassessment
DHCS 1820 MHSA Daim Ntawv Qhia Txog Nyiaj Tau Los thiab Kev Siv Nyiaj Txhua Xyoo thiab Kev Hloov Daim Ntawv Pov Thawj Hauv Nroog
DHCS 1821 MHSA: Kev Kho Kom Zoo Rau Cov Nyiaj Tau Los thiab Cov Nqi Them Nqi Ua Haujlwm
DHCS 1822A Ib Xyoo MHSA Daim Ntawv Qhia Nyiaj Tau Los thiab Kev Siv Nyiaj Txhua Xyoo thiab Cov Lus Qhia
Rov qab mus rau Forms Index
Hnub hloov tshiab kawg: 8/18/2025 10:40 AM
