返回表格索引
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- 敘述表（MC 2320，09/07）
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新的殘障工人 Medi-Cal 計劃：250% 工作殘障計劃 (MC 338 傳單，05/07)
- Alt：西班牙語
- New Referral CCS/GHPP Client Service Authorization Request (SAR) (DHCS 4488, 11/07)
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新生兒轉介（非加州醫療保險申請表（可填寫） (MC 330, 01/15)
- Alt：西班牙語
- Notice of Certification for Intensive Treatment Pursuant to Section 5250 (14 DaysIntensive Treatment) or 5270.15 (Additional 30 Days Intensive Treatment for Grave Disability) of the Welfare and Institutions Code (DHCS 1808, 05/24)
- Notice of Certification for Intensive Treatment Pursuant to Section 5250 (14 DaysIntensive Treatment) or 5270.15 (Additional 30 Days Intensive Treatment for Grave Disability) of the Welfare and Institutions Code (Spanish) (DHCS 1808 SP, 07/2024)
- 快速入學申請人補充表格通知 (中文) (MC 368, 06/07) (中文中文)
- 快遞入學申請人補充表格通知 (Hmong) (MC 368, 06/07) (Hmo)
- 快速入學申請人補充表格通知 (俄文) (MC 368, 06/07, (俄文)
- 關於保險公司、代理商和經紀人分發的 Medi-Cal 資格標準的通知 (DHCS 7102, 01/13)
- Alt：西班牙語
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有關加州醫療保險資格標準的通知 (DHCS 7077, 07/2022)
- Notice Regarding Transfer of a Home for both a Married and an Unmarried Applicant/Beneficiary (Eng/Sp) (DHCS 7077 A, 05/07)
- 醫療加州各縣間轉讓通知 (MC 360, 06/07)
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