DC Healthy Families and DC HealthCare Alliance Enrollment Services

Forms

The following forms are available in PDF format and in the following languages. Adobe Reader is required to view and use these forms and is available to download here.

	Plan Selection Forms English Amharic Chinese Korean Spanish Vietnamese
	Health Risk Assessment Form English Amharic Chinese Korean Spanish Vietnamese
	Health Care Needs of Children in DC HealthCare Alliance English Amharic Chinese Korean Spanish Vietnamese
	Transfer Form English Amharic Chinese Korean Spanish Vietnamese