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1. www.dhcs.ca.gov › formsandpubs › formsMedi-Cal Forms - DHCS

   www.dhcs.ca.gov › formsandpubs › forms

   Sep 18, 2023 · Estate Recovery Forms. Health Insurance Premium Program (HIPP) Application. Health Insurance Premium Payment Program. Medi-Cal Personal Injury Program. Quality Assurance Fee Program. Third Party Liability Notification. Dental, Request for Access to Protected Health Information. Notice to Terminating Employees.

   • Eligibility Forms Directory

     Medi-Cal Eligibility Division (MCED) forms are listed below...

   • Forms by Program

     Children's Medical Services (CMS) Branch; California...

   • FAQs

     Publications - California

   • Online Forms

     The information below will help you submit proper...

   • HIPP

     The confirmed medical condition must be covered under the...

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3. www.service-public.fr › particuliers › vosdroitsCertificat médical à joindre à une demande à la maison ...

   www.service-public.fr › particuliers › vosdroits

   • Cached

   Certificat médical à joindre à une demande à la maison départementale des personnes handicapées (MDPH) (Formulaire 15695*01) Ministère chargé des affaires sociales - Cerfa n° 15695*01....

4. www.calhr.ca.gov › Documents › calhr-755Certification of Health Care Provider for Family Member's ...

   www.calhr.ca.gov › Documents › calhr-755

   The law permits us to require that you submit a timely, complete, and sufficient medical certification to support a request for leave to care for a covered family member with a serious health condition. Your response is required to obtain or retain the benefit of FMLA/CFRA protections.

   • File Size: 121KB

   • Page Count: 4

5. www.dhcs.ca.gov › formsandpubs › formsForms - DHCS

   www.dhcs.ca.gov › formsandpubs › forms

   Mar 23, 2021 · Access forms used by the Department of Health Care Services. ... 2024 State of California ... medical, or confidential information. ...

6. www.dhcs.ca.gov › Get-Medi-Cal › PagesApply for Medi-Cal | Get Medi-Cal - DHCS

   www.dhcs.ca.gov › Get-Medi-Cal › Pages

   Jun 5, 2024 · Apply Online for Medi-Cal. Visit CoveredCA. Covered California and Medi-Cal use the same application. Apply Online for Other Services. Visit BenefitsCal. For food, cash aid, and health coverage. Department of Health Care Services.

7. calcivilrights.ca.gov › wp-content › uploadsCertification of Health Care Provider - California

   calcivilrights.ca.gov › wp-content › uploads

   CERTIFICATION OF HEALTH CARE PROVIDER for California Family Rights Act (CFRA) or Family and Medical Leave Act (FMLA) IMPORTANT NOTE: The California Genetic Information Nondiscrimination Act of 2011 (CalGINA) prohibits employers and other covered entities from requesting, or requiring, genetic information of an individual or family member of

8. mbc.ca.gov › Licensing › DOCSDirect Online Certification Submission (DOCS) | Medical Board ...

   mbc.ca.gov › Licensing › DOCS

   • Cached

   Jan 1, 2024 · The Direct Online Certification Submission (DOCS) service is a secure, fast, and reliable online document delivery system that allows medical schools and postgraduate training programs to submit certain primary-source licensing documents to the Board.