Daim Ntawv Qhia Txhua Xyoo ntawm Kev Xeem Hnov PM 100 Daim Ntawv
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Daim Ntawv Ceeb Toom Txhua Xyoo ntawm Kev Ntsuas Hnov PM 100 (pdf). Thov xa ib daim foos nrog cov txiaj ntsig sib xyaw rau txhua lub hauv paus tsev kawm ntawv.
Thov nco ntsoov: Daim foos no tuaj yeem xa email, fax lossis xa mus rau Lub Tsev Haujlwm Saib Xyuas Kev Mloog Lus (HCP). Thov ua raws li cov lus qhia hauv qab no. - Nco tseg: Thov rub daim foos ua ntej ua tiav. Yog tias ua tiav hauv online, "Tab" navigation / xaiv yuav tsis raug txiav txim.
Thov nco ntsoov
Txhua lub hauv paus tsev kawm ntawv yuav tsum xa daim PM 100, Daim Ntawv Qhia Txhua Xyoo ntawm Daim Ntawv Xeem Kev Sib Hais Tsis hais seb puas tau thov zam rau qib 10 thiab/lossis 11th.
PM 100 Daim Ntawv Thov yuav tsum tau ua ua ntej Lub Rau Hli 30th ntawm txhua xyoo.
Thov sau koj lub tsev kawm ntawv CDC Code ntawm PM 100.
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Adobe Acrobat Reader yuav tsum ua kom tiav daim ntawv. Qhov tseeb version ntawm Acrobat Reader muaj pub dawb rau rub tawm ntawm Adobe's Website (Tsis yog DHCS).
Txuag thiab/lossis Email koj daim ntawv
Yog tias koj npaj yuav txuag thiab / lossis email koj daim ntawv, thov ua raws li cov lus qhia hauv qab no
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Adobe Acrobat yuav tsum tau txuag HCP PDF ntawv.
Yog tias koj tsis muaj Adobe Acrobat Reader, qhov tseeb version ntawm Acrobat Reader muaj pub dawb rau rub tawm ntawm Adobe lub vev xaib (Tsis yog DHCS). -
Txuag daim ntawv PM 100 (pdf) rau koj lub computer.
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Ntsuam xyuas daim ntawv kom paub tseeb tias koj cov ntaub ntawv raug khaws cia rau PM 100 koj tau khaws cia rau hauv koj lub computer los ntawm:
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Sau koj lub npe hauv cheeb tsam rau hauv daim ntawv
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Kaw daim ntawv thiab txuag cov kev hloov pauv
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Rov qhib daim foos kom paub meej tias koj cov ntaub ntawv thiab / lossis kev hloov pauv tau raug cawm
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Txuas ntxiv sau koj cov ntaub ntawv mus rau hauv daim ntawv.
- Kaw daim ntawv thiab txuag cov kev hloov pauv.
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Qhib koj daim ntawv kom paub meej tias koj cov ntaub ntawv tau raug cawm
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Koj tuaj yeem xa email, fax lossis xa koj daim foos mus rau HCP. Thov xa mus rau cov lus qhia hauv qab no.
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thov tsuas yog siv daim ntawv PM 100 (pdf) uas tau muab los ntawm HCP.
Cov lus qhia xa ntawv
Thov nco ntsoov: Tsuas yog PM 100 thiab/lossis PM 359 Daim Ntawv Thov tuaj yeem xa email, fax lossis xa ntawv. Tag nrho lwm daim ntawv yuav tsum tau kos npe thawj zaug thiab / lossis muaj cov ntaub ntawv tsis pub lwm tus paub thiab yuav tsum xa mus rau HCP ntawm qhov chaw nyob hauv qab no.
Fax: PM 100 and/or PM 359 Forms only: (916) 440-5316
Xa ntawv: Txhua Daim Ntawv:
Qhov Kev Pabcuam Tiv Thaiv Hnov
Cov Kev Pabcuam Me Nyuam Me Nyuam
Department of Health Care Services
PO Box 997413, MS 8102
Sacramento, CA 95899-7413
