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.
Q: What is Form CDPH612?
A: Form CDPH612 is a census and direct care service hours per patient day (Dhppd) form.
Q: What is the purpose of Form CDPH612?
A: The purpose of Form CDPH612 is to collect information on the number of patients and the hours of direct care service provided per patient day in California.
Q: Who is required to submit Form CDPH612?
A: Healthcare facilities in California, such as hospitals and skilled nursing facilities, are required to submit Form CDPH612.
Q: What information is collected in Form CDPH612?
A: Form CDPH612 collects information on the facility's census (number of patients) and the total direct care service hours provided per patient day.
Q: What is census?
A: Census refers to the number of patients present in a healthcare facility at a specific point in time.
Q: What are direct care service hours per patient day (Dhppd)?
A: Direct care service hours per patient day (Dhppd) refers to the number of hours of direct care provided to patients in a healthcare facility per day, on average.
Q: Why is collecting Dhppd information important?
A: Collecting Dhppd information helps in assessing the staffing levels and quality of care provided in healthcare facilities.
Q: How often is Form CDPH612 submitted?
A: Form CDPH612 is usually submitted on a monthly or quarterly basis, depending on the requirements of the healthcare facility.
Form Details:
Download a fillable version of Form CDPH612 by clicking the link below or browse more documents and templates provided by the California Department of Public Health.