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Form MC604 MDV FAR Doctor's Verification for Home and Community Based Services Under Spousal Impoverishment Provisions - California (Farsi)
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 Farsi. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is form MC604?
A: Form MC604 is the Doctor's Verification form for Home and Community Based Services Under Spousal Impoverishment Provisions in California.
Q: What is the purpose of form MC604?
A: The purpose of form MC604 is to verify the medical need for Home and Community Based Services for individuals who are eligible under the Spousal Impoverishment Provisions in California.
Q: Who needs to fill out form MC604?
A: The form needs to be filled out by a doctor or medical professional who can provide the necessary medical verification for the individual's need for Home and Community Based Services.
Q: Can I fill out form MC604 in Farsi?
A: Yes, form MC604 is available in Farsi, as well as other languages, to accommodate individuals who are more comfortable with languages other than English.
Form Details:
- Released on August 1, 2017;
- The latest edition provided by the California Department of Health Care Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
Download a printable version of Form MC604 MDV FAR by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
Download Form MC604 MDV FAR Doctor's Verification for Home and Community Based Services Under Spousal Impoverishment Provisions - California (Farsi)
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