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
Ntawv qhia zaub mov
Nrhiav
Tsev
Kev pabcuam
Cov neeg
Cov kws kho mob &
Cov koom tes
Txoj Cai &
Kev cai
Cov ntaub ntawv &
Kev txheeb cais
Cov ntawv &
Kev tshaj tawm
Nrhiav
Nrhiav rau qhov chaw no:
Page Content
Forms: DHCS 5000
DHCS 5018 - Order Form
DHCS 5021 - Kev tso cai rau tus neeg siv
DHCS 5023 - Media Loan Request
DHCS 5024 - Kev tso cai tso tawm cov ntaub ntawv tsis pub lwm tus paub
DHCS 5050 - Cov Ntaub Ntawv Pabcuam Cov Neeg Ua Haujlwm
DHCS 5054 - Daim Ntawv Ceeb Toom Txog Kev Tshawb Fawb Cov Ntaub Ntawv Tsis Pub Leej Twg Paub
DHCS 5077 - Daim Ntawv Qhia Txog Kev Noj Qab Haus Huv
DHCS 5078 - Centrally Stored Medicine and Destruction Record
DHCS 5079 - Cov xwm txheej txawv txawv / Kev raug mob / Daim Ntawv Qhia Txog Kev Tuag
DHCS 5080 - Txoj Cai Ntawm Tus Kheej - Kev Kho Dej Cawv thiab Kev Kho Tshuaj
DHCS 5080 SP - Derechos Personales - Facilidades de Recuperación y Tratamiento
DHCS 5082 - Administrator/Director Information
DHCS 5083 - Lub Koom Haum Tswj Xyuas - Kev Lag Luam
DHCS 5084 - Lub Koom Haum Tswj Xyuas - Cov Chaw Pabcuam Pej Xeem, Kev Koom Tes, Tus Tswv Cuab, thiab Lwm Lub Koom Haum
DHCS 5085 - Kev tsim lub luag haujlwm rau kev tswj hwm
DHCS 5086 - Lub Sijhawm Ua Haujlwm Txhua Lub Limtiam
DHCS 5099 - CalOMS - ADP 100177 CalOMS ITWS County-Direct Provider Approver
DHCS 5100 - CalOMS - ADP 100178 CalOMS ITWS Vendor Approver
DHCS 5101 - CalOMS - ADP 100179 CalOMS ITWS Internal Employee Approver
DHCS 5102 - CalOMS - ADP 100180 CalOMS ITWS User Cancellation
DHCS 5103 - Cov Lus Nug Txog Kev Noj Qab Haus Huv thiab Cov Lus Nug Txog Cov Neeg Siv Khoom
DHCS 5104 - Kev tshem tawm hluav taws rau tus neeg mob sab nraud
DHCS 5105 - Cov Lus Nug Txog Cov Neeg Ua Haujlwm Kev Noj Qab Haus Huv - Tus Neeg Mob Sab Nraud
DHCS 5111 - Daim Ntawv Thov Kev Pab Ntxiv rau Cov Tswv Cuab nkaus xwb
DHCS 5115 - Zoning pom zoo
DHCS 5140 - Qhia tawm rau DHCS
DHCS 5255 - Daim Ntawv Thov Ntxiv rau Kev Pabcuam Ntxiv
DHCS 5256 - Kev Pabcuam Kev Noj Qab Haus Huv Kev Pabcuam Tsis Txaus Siab Kev lees paub
DHCS 5999 - Thov daim ntawv tso cai / Daim ntawv pov thawj txuas ntxiv
Rov qab mus rau Forms Index
Hnub hloov tshiab kawg: 4/6/2026 10:09 AM
