Ձևեր՝ DHCS 7000
- DHCS 7013 (06/07) – Change of Status-Liens
- DHCS 7014 (06/07) – Property Lien Referral
- DHCS 7019 (05/07) – Pickle Eligibles Financial Eligibility Work Sheet—Eligible Child With Ineligible Parent or Parents
- DHCS 7020 (06/07) – Screening Work Sheet
- DHCS 7021 (05/07) – Financial Eligibility Work Sheet (Individual or Couple, Applicant With an Ineligible Spouse)
- Alt: Հրահանգներ
- Alt: Հրահանգներ
- DHCS 7023 (07/21) – Alternate Formats Request Form
- DHCS 7029 (06/07) – Disregard Computation Work Sheet (Pickle Eligible Individual or Couple and/or Ineligible Spouse with RSDI Income)
- DHCS 7035 A (06/07) – Medical Report on Adult with Allegation of Human Immunodeficiency Virus (HIV) Infection
- DHCS 7035 C (04/08) – Medical Report on Child with Allegation of Human Immunodeficiency Virus (HIV) Infection
- DHCS 7037 (05/07) – Pickle Resource Work Sheet
- DHCS 7044 (12/08) – Statement of Living Arrangements, In-Kind Support, and Maintenance
- DHCS 7045 (05/07) – Worker Observations – Disability
- DHCS 7068 (06/07) – Responsibilities of Public Guardians/Conservators or Applicant/Beneficiary Representatives
- DHCS 7071 (06/07) – Medi-Cal Waiver Information and Authorization
- DHCS 7075 (05/07) – Pickle Needs Test
- DHCS 7077 (01/25) – Notice Regarding Standards for Medi-Cal Eligibility
- Այլընտրանք՝արաբերեն, հայերեն, կամբոջերեն, չինարեն ,պարսկերեն , հինդի , հմոնգ, ճապոներեն, կորեերեն ,լաոսերեն , միեն , փենջաբերեն , ռուսերեն, իսպաներեն ,տագալոգ, թայերեն, ուկրաիներեն, վիետնամերեն
- DHCS 7077 A (05/07) – Notice Regarding Transfer of a Home for both a Married and an Unmarried Applicant/Beneficiary (English/Spanish)
- DHCS 7089 (05/07) – Screening Worksheet Disabled Widow(er) Checklist (DW) Ages 50 to 64
- DHCS 7096 (05/07) – Department of Developmental Services Waiver Referral
- DHCS 7098 A (12/14) – Staying Healthy Assessment: 0-6 Months
- DHCS 7098 B (12/14) – Staying Healthy Assessment: 7-12 Months
- DHCS 7098 C (12/13) – Staying Healthy Assessment: 1-2 Years
- DHCS 7098 D (12/13) – Staying Healthy Assessment: 3-4 Years
- DHCS 7098 E (12/13) – Staying Healthy Assessment: 5-8 Years
- DHCS 7098 F (12/13) – Staying Healthy Assessment: 9-11 Years
- DHCS 7098 G (12/14) – Staying Healthy Assessment: 12-17 Years
- DHCS 7098 H (12/13) – Staying Healthy Assessment: Adult
- DHCS 7098 I (12/13) – Staying Healthy Assessment: Senior
Alt՝ իսպաներեն