Daim Ntawv Thov Kev Pab
Cov ntawv ntxiv tuaj yeem pom ntawm lub vev xaib Medi-Cal Provider.
Kev koom nrog cov neeg siv khoom
Daim Ntawv Thov Txheeb Xyuas Kev Tsim Nyog ntawm CCS (Lus Askiv) - DHCS 4480
Saib nplooj ntawv California Children's Services Forms kom paub ntau hom lus ntxiv.
Kev koom tes nrog tus kws kho mob
- Communication Disorder Center Application – DHCS 4482
- Outpatient Infant Hearing Screening Provider Application – DHCS 4481
Thov Kev Pabcuam
- Daim Ntawv Thov Kev Tso Cai rau Kev Pabcuam Kho Hniav thiab Orthodontic ntawm CCS - DHCS 4516
- Daim Ntawv Thov Kev Tso Cai rau Kev Npaj Kev Pabcuam Tso Tawm ntawm CCS/GHPP (SAR) - DHCS 4489 (7/07)
- Established CCS/GHPP Client Service Authorization Request (SAR) – DHCS 4509
- New Referral CCS/GHPP Client Service Authorization Request (SAR) – DHCS 4488 (7/07)