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This version of the form is not currently in use and is provided for reference only. Download this version of
Form DHCS4073
for the current year.
Form DHCS4073 Pre-enrollment Application - California (Vietnamese)
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 Vietnamese. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form DHCS4073?
A: Form DHCS4073 is a pre-enrollment application for healthcare in California.
Q: What is the purpose of Form DHCS4073?
A: The purpose of Form DHCS4073 is to apply for healthcare services in California.
Q: Who can use Form DHCS4073?
A: Any resident of California who wants to apply for healthcare services can use Form DHCS4073.
Q: Is Form DHCS4073 available in Vietnamese?
A: Yes, Form DHCS4073 is available in Vietnamese for the convenience of Vietnamese-speaking residents of California.
Form Details:
- Released on November 1, 2007;
- The latest edition provided by the California Department of Health Care Services;
- Easy to use and ready to print;
- Available in Spanish;
- Quick to customize;
- Compatible with most PDF-viewing applications;
Download a printable version of Form DHCS4073 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
