Hla mus rau Cov Ntsiab Lus Tseem Ceeb

Medi-Cal Kev Tsim Nyog Kev Tsim Nyog Division Translated Forms: Laotian

Rov qab mus rau Phau Ntawv Txhais Lus Lub Ntsiab

Cov ntaub ntawv Medi-Cal Eligibility Division (MCED) muaj npe hauv qab no, nyob ntawm cov tsiaj ntawv, los ntawm tus lej thiab tau muab txhais ua lus Laotian.
PDF sau thiab luam cov ntawv tuaj yeem ua tiav online thiab luam tawm rau cov ntawv tawv tawv kom kos npe thiab xa hauv lossis xa tus neeg mus rau tus neeg ua haujlwm tsim nyog rau kev ua haujlwm.

DHCS Forms: Laotian

DHCS 0001 (01/08) (Lao) - Cov Neeg Asmeskas Cov Neeg Xam Xaj thiab Cov Neeg Qhab Asmeskas uas thov Medi-Cal Yuav tsum muaj pov thawj ntawm pej xeem thiab tus kheej

DHCS 0002 (01/08) (Lao) - Cov Ntaub Ntawv Pov Thawj ntawm Kev Ua Neeg Xam Xaj thiab Tus Kheej--Cov Lus Qhia Tshiab rau cov neeg tau txais txiaj ntsig Medi-Cal uas yog neeg xam xaj Asmeskas lossis haiv neeg

DHCS 0005 (02/08) (Lao) - Daim ntawv txais neeg ua pej xeem lossis cov ntaub ntawv qhia txog tus kheej

DHCS 0007 (12/07) (Lao) - Cov ntaub ntawv lees paub ua pej xeem thiab tus kheej

DHCS 0008 (01/08) (Lao) - Cov ntaub ntawv pov thawj ntawm Kev Ua Neeg Xam Xaj thiab Kev Qhia Txog Tus Kheej - Rau Cov Menyuam Uas Yog Neeg Xam Xaj Meskas lossis Neeg Qhab Teb Sau Cov Tsev Neeg Noj Qab Haus Huv / Medi-Cal Joint Application

DHCS 0009 (09/07) (Lao) - Daim ntawv pov thawj ntawm tus kheej rau US Citizen lossis National Children Under 18

DHCS 0011 (06/08) (Lao) - Cov ntaub ntawv pov thawj lees paub tias yog neeg xam xaj lossis tus kheej

MC Forms: Laotian

MC 0021 (04/07) (Lao) - Medi-Cal rau Healthy Families Bridging Consent Form

MC 372 (12/21) (Lao) - Kev Kho Mob Lub Cev thiab Cervical (BCCTP)

Hnub hloov tshiab kawg: 6/15/2023 4:39 PM