Every Woman Counts (EWC) Manuals, Forms and Worksheets


Notice of Privacy Practices Form

The Notice of Privacy Practices can be downloaded from the Notice of Privacy Practices page of the DHCS website in English and the following languages:

  • Arabic
  • Chinese
  • Farsi
  • Hmong
  • Khmer
  • Korean
  • Russian
  • Spanish
  • Tagalog
  • Vietnamese
Recipient Application (Provider Use Only) Provider Data Request Form Covered Procedures
More information can be found at the DHCS EWC webpage.

If you cannot view the MS Word or PDF (Portable Document Format) documents correctly, please visit the Web Tool Box to link to a download site for the appropriate reader.