Substance Use Disorder Services – Forms
California Access to Recovery Effort (CARE)
- Xov tooj-Xov Xwm-Kev Pom Zoo (DHCS 5000)
- Tsab ntawv xa mus (DHCS 5001)
- Recovery-Coaching-Note (DHCS 5002)
- Client-File-Checklist (DHCS 5003)
- Kev tshuaj ntsuam-kev soj ntsuam-Tuam-tub rog (DHCS 5004)
- Kev xa mus-ua tiav (DHCS 5005)
- Client-Incentives (DHCS 5006)
- Kev Ntsuam Xyuas-Kev Ntsuam Xyuas-Tool (DHCS 5007)
- Xov tooj-Rov qab-Kev cob qhia-kev pom zoo (DHCS 5009)
- Xov tooj-Saib xyuas-Kev pom zoo (DHCS 5012)
- Kev thauj mus los-Requirements-Conditions (DHCS 5013)
- Cov Kev Pab Cuam Rau Cov Neeg Siv Khoom (DHCS 5059)
- Fax Kev xa xov ntawm cov ntaub ntawv ntiag tug neeg siv khoom (DHCS 5060)
- Kev tso cai tso tawm cov ntaub ntawv tsis pub lwm tus paub (DHCS 5061)
- Cov Ntaub Ntawv Tsav Tsheb (rau Tsheb thauj neeg mob CARE) (DHCS 5062)
- Invoice Cover Sheet (DHCS 5063)
- Cov ntaub ntawv thov (DHCS 5065)
- Lub koom haum hloov ntaub ntawv xov xwm (DHCS 5066)
- Kev Ntsuam Xyuas Kev Xaiv Tus Muab Kev Xaiv (DHCS 5067)
- Cov Lus Nug Txog Kev Qhia Rov Qab (DHCS 5068)
Tsav Tsheb Hauv Qhov Kev Nyuaj Siab (DUI)
- Daim Ntawv Qhia 12-teev Teev Kev Kawm (Rau Wet Reckless Thiab Hnub nyoog 18-20 Xyoo) Daim Ntawv Tso Cai Peb Hlis Thiab Daim Ntawv Ceeb Toom Rau Cov Neeg Koom Tes (DHCS 5069)
- 30-Hloov Dui Qhov Kev Pabcuam Peb Lub Hlis Daim Ntawv Tso Cai Thiab Daim Ntawv Ceeb Toom Rau Cov Neeg Koom Tes (DHCS 5071)
- 6-Hloov Dui Qhov Kev Pabcuam Peb Lub Hlis Daim Ntawv Tso Cai Thiab Daim Ntawv Ceeb Toom Rau Cov Neeg Koom Tes (DHCS 5072)
- Daim Ntawv Hloov Chaw - Lus Askiv (DHCS 5075)
- Daim Ntawv Hloov Chaw Rau Cov Neeg Koom Tes Uas Tsis Tau Sau Npe - Kho Dua 02 2003 (DHCS 5076)
Qhov Kev Pabcuam Kho Mob Medi-Cal
Resource Center
- Daim ntawv cog lus qiv nyiaj rau neeg ua haujlwm (DHCS 5018)
- Daim ntawv tso cai neeg siv (DHCS 5021)
- Media Loan Thov (DHCS 5023)
Daim ntawv tso cai thiab ntawv pov thawj (LCD)
NTP (Narcotic Treatment Program)
- Daim Ntawv Teev Npe ntawm Cov Neeg Ua Haujlwm Kev Ua Haujlwm, Daim Ntawv Tso Cai, Sijhawm thiab Hnub Ntiav / Xaus (DHCS 5008)
- Cov Lus Nug Txog Tus Neeg Ua Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS 5011)
- Daim ntawv thov pib (DHCS 5014)
- Kev Tso Cai thiab Ntawv Pov Thawj, Kev Tshawb Fawb Hauv Chaw Tshawb Xyuas Txheej Txheem (DHCS 5015)
- Qhov Kev Pabcuam Kev Kho Mob Narcotic Licensing Branch, Daim Ntawv Tso Cai thiab Ntawv Pov Thawj, Kev Hloov Cov Ntawv Qhia (DHCS 5016)
- Daim Ntawv Pom Zoo Tsev Kho Mob (DHCS 5017)
- Buprenorphine Maintenance Services, Narcotic Treatment Program Licensing Ceg, Daim Ntawv Tshawb Fawb Hauv Chaw, Cov Ntaub Ntawv Txheeb Xyuas Tus Neeg Mob (DHCS 5019)
- Daim ntawv cog lus lav (DHCS 5020)
- Ob Ntxiv Ob Lub Xeev Kev Zam (DHCS 5022)
- Kev Tso Cai Rau Kev Tso Tawm Cov Ntaub Ntawv Tsis Pub Ntiav (DHCS 5024)
- Cov Khoom Siv Hauv Tsev (DHCS 5025)
- Xeev California (DHCS 5026)
- Lub Nroog Pom Zoo (DHCS 5027)
- Tsab ntawv ntawm Kev Koom Tes (DHCS 5028)
- Buprenorphine Detoxification Services, Narcotic Treatment Program Licensing Ceg, Daim Ntawv Tshawb Fawb Hauv Chaw, Cov Ntaub Ntawv Tus Neeg Mob (DHCS 5029)
- Geographical Area (DHCS 5030)
- Lub luag haujlwm ntawm lub koom haum (DHCS 5031)