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Form CDPH246 Application for Outpatient Service - California
What Is Form CDPH246?
This is a legal form that was released by the California Department of Public Health - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form CDPH246?
A: Form CDPH246 is an application for outpatient services in the state of California.
Q: Who needs to fill out this form?
A: Anyone seeking outpatient services in California needs to fill out this form.
Q: What information is required on this form?
A: The form requires information such as personal details, medical history, and treatment preferences.
Q: Are there any fees associated with this application?
A: There may be fees for outpatient services, but the form itself does not require a fee.
Q: How should I submit the completed form?
A: The completed form should be submitted to the healthcare facility or provider where you wish to receive outpatient services.
Form Details:
- Released on October 1, 2008;
- The latest edition provided by the California Department of Public Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form CDPH246 by clicking the link below or browse more documents and templates provided by the California Department of Public Health.
