Form DHCS4481 Outpatient Infant Hearing Screening Provider Application - California

Form DHCS4481 Outpatient Infant Hearing Screening Provider Application - California

What Is Form DHCS4481?

This is a legal form that was released by the California Department of Health Care Services - 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 DHCS4481?
A: Form DHCS4481 is the Outpatient Infant Hearing Screening Provider Application in California.

Q: What is the purpose of Form DHCS4481?
A: The purpose of Form DHCS4481 is to apply to become an outpatient infant hearing screening provider in California.

Q: Who needs to fill out Form DHCS4481?
A: Anyone who wants to become an outpatient infant hearing screening provider in California needs to fill out Form DHCS4481.

Q: Is there a fee to submit Form DHCS4481?
A: No, there is no fee to submit Form DHCS4481.

Q: What information do I need to provide on Form DHCS4481?
A: You will need to provide your personal information, contact information, and details about your qualifications and experience as an infant hearing screening provider.

Q: How long does it take to process Form DHCS4481?
A: The processing time for Form DHCS4481 may vary, but it typically takes a few weeks to be processed.

Q: What happens after I submit Form DHCS4481?
A: After you submit Form DHCS4481, it will be reviewed by the California Department of Health Care Services. If approved, you will become a certified outpatient infant hearing screening provider in California.

Q: How long is the certification valid for?
A: The certification as an outpatient infant hearing screening provider in California is valid for one year. You will need to renew it annually.

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Form Details:

  • Released on May 1, 2018;
  • The latest edition provided by the California Department of Health Care Services;
  • 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 DHCS4481 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form DHCS4481 Outpatient Infant Hearing Screening Provider Application - California

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