PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form DMHC20-224
for the current year.
Form DMHC20-224 Independent Medical Review Application (Imr) / Complaint Form - California (Hmong)
Fill PDF Online
Fill out online for free
without registration or credit card
This is a legal form that was released by the California Department of Managed Health Care - a government authority operating within California.
The document is provided in Hmong. As of today, no separate filing guidelines for the form are provided by the issuing department.
Form Details:
- Released on August 1, 2018;
- The latest edition provided by the California Department of Managed Health Care;
- 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 DMHC20-224 by clicking the link below or browse more documents and templates provided by the California Department of Managed Health Care.
Download Form DMHC20-224 Independent Medical Review Application (Imr) / Complaint Form - California (Hmong)
1
2
3
4
5
6
7
