Medi-Cal資格認證部門翻譯表格：越南語
Medi-Cal 資格審查部門 (MCED) 的表格按表格編號的字母順序列於下方，並已翻譯成越南語。
PDF格式的填寫和列印表格可以在線上完成，然後列印成紙本副本，簽字後郵寄或親自提交給資格審查員進行處理。
DHCS 表格：越南語
- 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) – 可接受的公民身分和身分證件
- 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歲以下美國公民或國民子女身分證明宣誓書
- DHCS 0011 (06/08) (Vie) – Proof of Citizenship or Identity Documents
MC 形式：越南語
- 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) – 懷孕期間及分娩後您的 Medi-Cal 保險範圍變更
- 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) – 僅限 Medi-Cal 成人申請人的補充事實陳述
- 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) – 其他家庭成員申請Medi-Cal
- MC 372 (12/21) (Vie) – 乳癌與子宮頸癌治療計畫 (BCCTP) 宣傳單
- MC 4035 (04/08) (Vie) – Medi-Cal Consent Form
MC 信息通告：越南語
- MC 資訊通知 003 (05/13) (Vie) – 早期和定期篩檢、診斷和治療服務