表格名称 - D
- DAPD 待处理信息更新(洛杉矶) (MC 222 LA,02/14)
- 发展服务部豁免转介(DHCS 7096, 05/07)
- DHCS Computer Files Release/Access of MC Program Confidential Oath (DHCS 4512)
- DHCS 员工批准人认证(MC 5123D)
- 直接提供者日间照护住宿 – 酒精和药物(Excel)(MC 6007-MC 6008-1112)
Alt:说明 - Direct Provider Day Care Residential – Perinatal (Excel) (MC 6009-MC 6010-1112)
Alt: Instructions - Direct Provider Narcotic Treatment Program – Alcohol and Drug (Excel) (DHCS 6011-1112)
Alt: Instructions - Direct Provider Narcotic Treatment Program – Perinatal (Excel) (DHCS 6012-1112)
Alt: Instructions - 直接提供者门诊患者免费药物 - 围产期(Excel)(MC 6013-MC 6014 - MC 6004)
另页:说明 - Direct Provider Out Patient Drug Free Group-Alcohol and Drug (Excel) (MC 6003-MC 6015-MC 6016)
Alt: Instructions - 直接提供者住宿 - 围产期(Excel)(MC 6005-MC 6006-1112)
备选:说明 - Disability Determination and Transmittal (Los Angeles) (MC 221 LA, 02/14)
- 殘疾裁定服務科(MC 179, 11/07)
备选案文:西班牙文 (01/08)西班牙语 (01/08) - 残疾人名单更新(MC 4033, 06/07)
- 向DHCS披露(DHCS 5140)
- Disregard Computation Work Sheet (Pickle Eligible Individual or Couple and/or Ineligible Spouse with RSDI Income) (DHCS 7029 ,06/07)
- DMC 提供商认证(MC 6002, (10/12) – 1112)