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This version of the form is not currently in use and is provided for reference only. Download this version of
Form CDPH514
for the current year.
Form CDPH514 Profile Sheet - California
What Is Form CDPH514?
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 CDPH514 Profile Sheet?
A: CDPH514 Profile Sheet is a form used in California to collect demographic and health information.
Q: Why is the CDPH514 Profile Sheet used?
A: The CDPH514 Profile Sheet is used to gather data on individuals for public health and research purposes.
Q: Who is required to complete the CDPH514 Profile Sheet?
A: Healthcare facilities and providers in California are required to complete the CDPH514 Profile Sheet for their patients.
Q: What information is collected on the CDPH514 Profile Sheet?
A: The CDPH514 Profile Sheet collects information such as age, gender, race/ethnicity, and health history.
Q: Is completing the CDPH514 Profile Sheet mandatory?
A: Yes, healthcare facilities and providers in California are required by law to gather this information.
Q: How is the privacy of the information on the CDPH514 Profile Sheet protected?
A: The information collected on the CDPH514 Profile Sheet is protected by privacy laws and only used for public health and research purposes.
Q: Can individuals access their own CDPH514 Profile Sheet?
A: No, the CDPH514 Profile Sheet is not accessible to individuals as it is used for aggregated data purposes.
Q: What happens to the CDPH514 Profile Sheets once they are completed?
A: The completed CDPH514 Profile Sheets are submitted to the California Department of Public Health for analysis and data collection.
Form Details:
- Released on May 1, 2018;
- 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 CDPH514 by clicking the link below or browse more documents and templates provided by the California Department of Public Health.
