Daim ntawv thov, Daim ntawv, thiab cov nqi​​ 

Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) muaj txoj cai nkaus xwb los tso cai rau cov neeg laus haus cawv lossis tshuaj yeeb tshuaj rov qab los yog chaw kho mob, tseem hu ua cov chaw kho mob hauv tsev (SUD). DHCS tseem muaj txoj cai tswj xyuas thiab saib xyuas tag nrho cov neeg mob haus cawv thiab lwm yam kev pab cuam tshuaj, tseem hu ua SUD kev kho mob sab nraud uas muaj kev kho mob, rov qab los, detoxification, lossis Kev Kho Mob rau Kev Kho Mob (MAT). Txhua qhov kev pabcuam SUD ua haujlwm nyob rau hauv qhov chaw uas raug zam los ntawm DHCS yuav tsum tau ntawv pov thawj raws li Txoj Cai Kev Noj Qab Haus Huv thiab Kev Nyab Xeeb, subdivision (b) ntawm Tshooj 11832.3, thiab ua tau raws li cov kev cai uas tau teev tseg hauv Daim Ntawv Pov Thawj rau Cawv thiab Lwm Cov Kev Pabcuam (hloov Lub Ob Hlis 2025) tuaj yeem yeem thov rau daim ntawv pov thawj.​​   

Daim ntawv thov​​ 

Thov nco ntsoov: Yog tias koj xav thov rau daim ntawv tso cai thiab ntawv pov thawj, koj yuav tsum ua kom tiav ob daim ntawv thov (xws li DHCS 6002 thiab DHCS 6040 rau thawj daim ntawv thov; DHCS 5999 thiab DHCS 6043 rau kev txuas ntxiv / txuas ntxiv). Xyuas kom meej tias ob daim ntawv thov raug suav nrog hauv tib qhov kev xa tawm. Koj tsis tas yuav xa cov ntaub ntawv duplicate nrog rau. Thov xa txhua daim ntawv thov los ntawm email ntawm LCDSUDApplication@dhcs.ca.gov.
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• Daim Ntawv Thov Kev Pab Them Pib Pib (DHCS 6002)​​ 
• Daim ntawv thov thawj zaug rau Certification (DHCS 6040)​​ 
• Daim ntawv thov thawj zaug rau Cov Kev Pab Cuam Tshuam Tseem Ceeb Kom Tau Txais Daim Ntawv Pov Thawj Ua Ntej rau Txoj Haujlwm Tshiab (DHCS 6041)​​ 
• Daim ntawv thov rau tus neeg muaj ntawv tso cai uas twb muaj lawm kom tau txais daim ntawv tso cai thawj zaug rau Qhov Chaw Tshiab (DHCS 6047)​​ 
• Thov Daim Ntawv Tso Cai / Daim Ntawv Pov Thawj Ntxiv (DHCS 5999)​​ 
• Daim ntawv thov rau Daim Ntawv Pov Thawj Rov Ntxiv (DHCS 6043)​​ 
• Daim ntawv thov kev hloov kho daim ntawv pov thawj (DHCS 6042)​​ 
• Daim Ntawv Thov Ntxiv rau Kev Pabcuam Ntxiv (DHCS 5255)​​ 
  
• Daim Ntawv Thov Sole Proprietor (DHCS 5111)​​ 
  

Cov Ntawv Ntxiv​​ 

• Daim Ntawv Pov Thawj Kev Pabcuam Kho Mob Tsis Txaus Siab - Kev Ntsuam Xyuas Tus Neeg Saib Xyuas Kev Kho Mob (DHCS 4026)​​ 
  
• Cov Neeg Ua Haujlwm thiab Tus Kws Kho Mob (HCP) Cov Ntaub Ntawv (DHCS 5050)​​ 
  
• Daim Ntawv Qhia Txog Kev Kho Mob (DHCS 5077)​​ 
  
• Cov Ntaub Ntawv Tus Thawj Coj Txoj Haujlwm (DHCS 5082)​​ 
• Lub Koom Haum Tswj Xyuas - Corporation, Nonprofit Corporation Limited Liability Company, General Partnership lossis Limited Partnership (DHCS 5083)​​ 
• Lub Koom Haum Saib Xyuas Kev Tswj Xyuas - Lub Chaw Haujlwm Pej Xeem lossis Tus Tswv Cuab (DHCS 5084)​​ 
• Lub luag haujlwm ntawm kev tswj hwm (DHCS 5085)​​ 
• Teem sijhawm ntawm Kev Pabcuam Rov Qab thiab Kev Kho Mob (DHCS 5086)​​ 
• Client Health Questionnaire thiab Initial Screening Questions (DHCS 5103)​​ 
• Cov Lus Nug Txog Cov Neeg Ua Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS 5105)​​ 
• Kev Pabcuam Kev Noj Qab Haus Huv Kev Pabcuam Tsis Txaus Siab Kev lees paub (DHCS 5256)​​ 

 Lwm yam Forms​​ 

• Centrally Stored Medicine and Destruction Record (DHCS 5078)​​ 
• Cov xwm txheej, Kev raug mob lossis kev tuag (DHCS 5079)​​ 
• Cov Cai Ntawm Tus Kheej - Cov Khoom Siv Kho Dej Cawv thiab Kho Tshuaj (DHCS 5080)​​ 
• Derechos Personales - Facilidades de Recuperación y Tratamiento (DHCS 5080SP)​​ 
• Kev tshem tawm ntawm tus neeg mob sab nraud (DHCS 5104)​​ 
  
• Qhia tawm rau DHCS (DHCS 5140)​​ 
• Kev soj ntsuam detoxification - Cov cim tseem ceeb kos npe (DHCS 6045)​​ 
  
• Kev Soj Ntsuam Kev Ntsuas - Lub Cev Tshawb Xyuas Lub Cev (DHCS 6046)​​ 
  
• Pom zoo rau Daim Ntawv Pom Zoo Kev Pabcuam Hluav Taws Xob (DHCS 6048)​​ 
  

Nqi​​ 

• BH Daim Ntawv Ceeb Toom 25-017​​  - SUD Rov Qab Los lossis Kho Cov Chaw Kho Mob ' Daim Ntawv Tso Cai thiab Daim Ntawv Pov Thawj Tus Nqi nce pib xyoo nyiaj txiag 2025-2026​​ 
• Kev Them Nqi Nyuaj Siab (DHCS 6044)​​