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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
Call Health Care Options at 1-800-430-4263 to request your Medi-Cal Choice Enrollment Form. Look for the Medi-Cal Choice enrollment form in the booklet. You can also send in the postcard that you received from Health Care Options to get your Medi-Cal Choice form.
Please email your question to Dept. 7 at dept07@contracostaurts.ca or fax your question to Dept. 7 at (925) 608-0694.
Customer Service telephone operations are from AM to PM on weekdays, and from AM to PM on Saturday – (925) 676-7500.
If you have Medi-Cal questions, please visit Contra Costa Employment & Human Services (EHSD) or call 1-866-663-3225. Medi-Cal Information (English) Medi-Cal Information (Spanish)
Please email Contra Costa County Communications Director Kristi Jourdan at Kristi.Jourdan@contracostatv or call 925-313-1180 if you need assistance finding the right department or person.
Contact Us 925-957-2200. TTY: 711. 925-646-2566 (Fax) To send the DA's Office an email, please email DAOffice@contracostada Note: Do not use this email address for Discovery Requests. All Discovery Requests should be faxed to the appropriate Unit. Office locations and maps click here.