Form PM210 Registration of Agency Intending to Provide Hearing Testing Services - California

Form PM210 Registration of Agency Intending to Provide Hearing Testing Services - California

What Is Form PM210?

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 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.

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Form Details:

  • Released on May 1, 2015;
  • 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 PM210 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form PM210 Registration of Agency Intending to Provide Hearing Testing Services - California

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  • Form PM210 Registration of Agency Intending to Provide Hearing Testing Services - California, Page 1
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