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主页表格、法律和出版物 表格加州医疗保险资格部翻译表格​​ 

Medi-Cal 资格部门翻译表格​​ 

Back to Forms by Program Medi-Cal Eligibility Division (MCED) forms are listed below in alphabetical order by language. For a list of MCED forms by form number, please click on the following link: MCED Forms by Number.​​   

PDF 填写和打印表格可以在线填写并打印为硬拷贝,然后签名并邮寄或亲自提交给资格审查工作人员进行处理。​​ 

Medi-Cal Mail-In application:​​  Single Streamline Application​​