Download an Add a Person Form
Most items are in Acrobat pdf format, and you will need Acrobat Reader to see them. Click
here
to download a free copy of Adobe Acrobat Reader if you do not have the program.
- Add a Person Form (English) 1,805 KB
- Add a Person Form (Spanish) 1,110 KB
- Add a Person Form (Armenian) 1,266 KB
- Add a Person Form (Chinese) 1,320 KB
- Add a Person Form (Farsi) 1,393 KB
- Add a Person Form (Hmong) 1,668 KB
- Add a Person Form (Khmer/Cambodian) 1,655 KB
- Add a Person Form (Korean) 1,584 KB
- Add a Person Form (Russian) 1,539 KB
- Add a Person Form (Vietnamese) 1,540 KB
After you download and fill out the Add A Person form, mail to:
Healthy Families/Medi-Cal for Children & Pregnant Women
P.O. Box 138005
Sacramento, CA 95813-8005


