This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California.
The document is provided in Chinese. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the MC4035 Medi-Cal Consent Form?
A: The MC4035 Medi-Cal Consent Form is a consent form specific to the Medi-Cal program in California.
Q: Who needs to fill out the MC4035 Medi-Cal Consent Form?
A: The MC4035 Medi-Cal Consent Form needs to be filled out by individuals participating in the Medi-Cal program in California.
Q: What is the purpose of the MC4035 Medi-Cal Consent Form?
A: The MC4035 Medi-Cal Consent Form is used to authorize the release of medical information for the Medi-Cal program.
Q: Is the MC4035 Medi-Cal Consent Form available in Chinese?
A: Yes, the MC4035 Medi-Cal Consent Form is available in Chinese.
Form Details:
Download a fillable version of Form MC4035 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.