Authorization

  • Advance Health Care Directive Acknowledgment Form (Tagalog) – MH635T
  • Advance Health Care Directive Acknowledgment Form (Spanish) – MH635S
  • Advance Health Care Directive Acknowledgment Form (Russian) – MH635R
  • Advance Health Care Directive Acknowledgment Form (Kmer) – MH635KM
  • Advance Health Care Directive Acknowledgment Form (Korean) – MH635K
  • Advance Health Care Directive Acknowledgement Form – MH635
  • M-TAR 2011-10-06 - MH 417

Related Information

For Clinical Forms Questions, please contact
Quality Assurance
QA@dmh.lacounty.gov

For Pharmacy Questions, please contact
Pharmacy
Pharmacy@dmh.lacounty.gov


The PhaRxmacy Connection

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Pharmacy Memos

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Practice Communique