Medi-Cal资格认证部门翻译表格：越南语
Medi-Cal 资格审查部门 (MCED) 的表格按表格编号的字母顺序列于下方，并已翻译成越南语。
PDF格式的填写和打印表格可以在线完成，然后打印成纸质副本，签字后邮寄或亲自提交给资格审查员进行处理。
DHCS 表格：越南语
- DHCS 0001 (01/08) (Vie) – U.S. Citizens and Nationals Applying for Medi-Cal Must Show Proof of Citizenship and Identity
- DHCS 0002 (01/08) (Vie) – Proof of Citizenship and Identity–New Requirements for Medi-Cal Beneficiaries Who Are U.S. Citizens or Nationals
- DHCS 0005 (02/08) (Vie) – Receipt of Citizenship or Identity Documents
- DHCS 0007 (12/07) (Vie) – 可接受的公民身份和身份证件
- DHCS 0008 (01/08) (Vie) – Proof of Citizenship and Identity Requirements for Children Who Are U.S. Citizens or Nationals Filling Out the Healthy Families
- DHCS 0009 (09/07) (Vie) – 18岁以下美国公民或国民子女身份证明宣誓书
- DHCS 0011 (06/08) (Vie) – Proof of Citizenship or Identity Documents
MC 形式：越南语
- MC 0021 (04/07) (Vie) – Medi-Cal to Healthy Families Bridging Consent Form
- MC 176 S (03/09) (Vie) – Medi-Cal Status Report
- MC 209 (05/12) (Vie) – 怀孕期间及分娩后您的 Medi-Cal 保险范围变更
- MC 210 RV (05/11) (Vie) – Medi-Cal Annual Redetermination
- MC 219 (11/15) (Vie) – Important Information for Persons Requesting Medi-Cal
- MC 223 C (06/11) (Vie) – Supplemental Statement of Facts for Medi-Cal Child Applicant Only – Under Age 18
- MC 223 (10/09) (Vie) – 仅限 Medi-Cal 成人申请人的补充事实陈述
- MC 239 DRA-6 (02/10) (Vie) – Information Notice – Unable to Verify United States (U.S.) Citizenship/Identity Through The Social Security Administration
- MC 264 (09/11) (Vie) – Presumptive Eligibility for Pregnant Women Program Patient Fact Sheet
- MC 371 (06/09) (Vie) – 其他家庭成员申请Medi-Cal
- MC 372 (12/21) (Vie) – 乳腺癌和宫颈癌治疗项目 (BCCTP) 宣传单
- MC 4035 (04/08) (Vie) – Medi-Cal Consent Form
MC 信息通知：越南语
- MC 信息通知 003 (05/13) (Vie) – 早期和定期筛查、诊断和治疗服务