首頁CalAIM: Medi-Cal 的轉型ASCMI 表格翻譯​​ 

ASCMI 表格翻譯​​ 

返回 CalAIM ASCMI 倡議頁面​​ 

DHCS- 0303 ASCMI Form AB 133
Arabic, Armenian, Cambodian, Chinese-Simplified, Chinese-Traditional, Farsi, Hindi, Hmong, Japanese, Korean, Laotian, Mien, Punjabi, Russian, Spanish, Tagalog, Thai, Ukrainian, Vietnamese​​ 

DHCS- 0309 ASCMI Form Non-AB 133
Arabic, Armenian, Cambodian, Chinese-Simplified, Chinese-Traditional, Farsi, Hindi, Hmong, Japanese, Korean, Laotian, Mien, Punjabi, Russian, Spanish, Tagalog, Thai, Ukrainian, Vietnamese​​ 

DHCS- 0310 ASCMI Revocation Form
Arabic, Armenian, Cambodian, Chinese-Simplified, Chinese-Traditional, Farsi, Hindi, Hmong, Japanese, Korean, Laotian, Mien, Punjabi, Russian, Spanish, Tagalog, Thai, Ukrainian, Vietnamese​​