Daim Ntawv Qhia Txog Kev Tiv Thaiv Kab Mob California Hearing Conservation​​ 

Vim tias qhov ntim ntawm cov ntaub ntawv tau txais ntau, koj yuav tsis tau txais kev pom zoo ntawm daim ntawv tshaj tawm tau txais. Thov siv Daim Ntawv Kev Tiv Thaiv Kev Mloog Lus (HCP) nkaus xwb.  Rau email, fax lossis xa ntawv cov lus qhia, thov mus saib cov lus qhia xa ntawv hauv qab no.​​   

Txhawm rau saib lossis khaws cov ntawv rau koj lub computer, koj yuav tsum muaj Adobe Acrobat.  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).​​   

HCP FORMS — Thov siv lub Xeev HCP cov ntawv hauv qab no nkaus xwb​​ 

• Daim Ntawv Qhia Txhua Xyoo ntawm Kev Ntsuas Kev Hnov Lus PM 100 (pdf)  
  Daim foos no tuaj yeem xa email, fax lossis xa mus rau HCP. Thov saib cov lus qhia hauv qab no.  ​​ 
• Kev Tshawb Fawb Kev Sib Hais Thov Zam Txim PM 359 (pdf)
  Thov nco ntsoov: Daim foos no tuaj yeem xa email, fax lossis xa mus rau HCP. Thov saib cov lus qhia hauv qab no.  ​​ 
• Daim Ntawv Thov Kev Sau Npe Ua Tsev Kawm Ntawv Audiometrist DHCS 101 (pdf)
  ** Thov nco ntsoov: Daim foos no muaj cov ntaub ntawv tsis pub lwm tus paub thiab/lossis yuav tsum tau kos npe thawj. 
                          Daim foos no yuav tsum tau xa mus rau HCP chaw nyob hauv qab no.​​ 
• Kev Sau Npe Ntawm Lub Chaw Haujlwm Xav Tau Cov Kev Pab Cuam Kev Sib Hais Lus PM 210 (pdf)
  ** Thov nco ntsoov: Daim foos no muaj cov ntaub ntawv tsis pub lwm tus paub thiab/lossis yuav tsum tau kos npe thawj. 
                          Daim foos no yuav tsum tau xa mus rau HCP chaw nyob hauv qab no.​​ 

Yog Txuag lossis xa email rau koj daim ntawv​​ 

1. Cov ntawv yog PDF Forms thiab koj yuav tsum muaj Adobe Acrobat Reader.  Yog tias koj tsis muaj Adobe Acrobat Reader, qhov tseeb version muaj pub dawb rau rub tawm ntawm Adobe lub vev xaib (Tsis yog DHCS).​​  
2. Sau Lub Tsev Kawm Ntawv Lub Npe rau hauv daim ntawv, khaws thiab kaw daim ntawv​​ 
3. Rov qhib daim foos kom paub meej tias koj cov ntaub ntawv thiab / lossis kev hloov pauv tau raug cawm​​ 
4. Sau koj cov ntaub ntawv rau hauv daim ntawv​​  
5. Txuag thiab kaw daim ntawv​​ 
6. Ua ntej xa email rau daim ntawv, xyuas daim ntawv kom paub meej tias tag nrho koj cov ntaub ntawv tau raug cawm​​ 
7. Email daim foos mus rau HCP email chaw nyob hauv qab no​​ 
8. Thov tsuas yog siv cov ntawv HCP uas muab rau hauv lub vev xaib no​​ 
9. Thov nco ntsoov: Tsuas yog PM 100 thiab PM 359 Cov Ntawv tuaj yeem xa email lossis faxed.  Tag nrho lwm cov ntaub ntawv uas yuav tsum tau kos npe thawj zaug thiab / lossis muaj cov ntaub ntawv tsis pub lwm tus paub yuav tsum xa mus rau qhov chaw nyob hauv qab no.​​  

Cov lus qhia xa ntawv​​ 

• Email: hearingconservationprogram@dhcs.ca.gov   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 chaw nyob hauv qab no.​​ 
• Fax: (916) 323-5316 - Thov Ceeb Toom: Tsuas yog PM 100 thiab/lossis PM 359 Daim Ntawv Thov tuaj yeem xa email, fax lossis xa tuaj.  Tag nrho lwm cov ntaub 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 chaw nyob hauv qab no.​​ 
• Xa ntawv: ** Txhua daim ntawv tuaj yeem xa mus rau HCP chaw nyob hauv qab no.​​  

Kev Pabcuam Kev Tiv Thaiv Hnov
Kev Pabcuam Menyuam Yaus
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv
PO Box 997413, MS 8102
Sacramento, CA 95899-7413​​