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 Arabic. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the purpose of Form MC371?
A: The purpose of Form MC371 is to add additional family members who are requesting Medi-Cal in California.
Q: Who can request Medi-Cal in California?
A: Any individual or family who meets the eligibility requirements can request Medi-Cal in California.
Q: What information is needed to complete Form MC371?
A: You will need to provide information about the additional family members, such as their names, dates of birth, and social security numbers.
Q: Is the form available in other languages?
A: Yes, Form MC371 is available in Arabic and other languages to accommodate non-English speakers.
Form Details:
Download a printable version of Form MC371 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.