​​​​​Forms By Name - D​     

• DAPD Pending Information Update (Los Angeles) (MC 222 LA, 02/14)
• Department of Developmental Services Waiver Referral (DHCS 7096, 05/07)
• DHCS Computer Files Release/Access of MC Program Confidential Oath  (DHCS 4512)
• DHCS Employee Approver Certification (MC 5123D)
• Direct Provider Day Care Residential - Alcohol and Drug (Excel) (MC 6007-MC 6008-1112)
  Alt: Instructions
• Direct Provider Day Care Residential - Perinatal (Excel)  (MC 6009-MC 6010-1112)
  Alt: Instructions 
• Direct Provider Narcotic Treatment Program - Alcohol and Drug  (Excel)   (DHCS 6011-1112)
  Alt: Instructions
• Direct Provider Narcotic Treatment Program - Perinatal   (Excel) (DHCS 6012-1112)
  Alt: Instructions
• Direct Provider Out Patient Drug Free - Perinatal (Excel) (MC 6013-MC 6014 - MC 6004)
  Alt: Instructions
• Direct Provider Out Patient Drug Free Group-Alcohol and Drug  (Excel) (MC 6003-MC 6015-MC 6016)
  Alt: Instructions
• Direct Provider Residential - Perinatal (Excel) (MC 6005-MC 6006-1112)
  Alt: Instructions
• Disability Determination and Transmittal (Los Angeles)  (MC 221 LA, 02/14)
• Disability Determination Service Division (MC 179, 11/07)
  Alt: Spanish (01/08)
• Disability Listing Update (MC 4033, 06/07)
• Disclosure to DHCS (DHCS 5140)
• Disregard Computation Work Sheet (Pickle Eligible Individual or Couple and/or Ineligible Spouse with RSDI Income)  (DHCS 7029 ,06/07)
• DMC Provider Certification (MC 6002, (10/12) - 1112)