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.
Q: What is Form PM210?
A: Form PM210 is a registration form for agencies intending to provide hearing testing services in California.
Q: Who needs to complete Form PM210?
A: Any agency that plans to offer hearing testing services in California needs to complete Form PM210.
Q: What is the purpose of completing Form PM210?
A: Completing Form PM210 is necessary to register and obtain approval to provide hearing testing services in California.
Q: What documents are required to be submitted with Form PM210?
A: The required documents include a copy of the agency's accreditation or certification, proof of liability insurance, and a list of personnel providing the hearing testing services.
Form Details:
Download a fillable version of Form PM210 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.