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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 DHCS1809
for the current year.
Form DHCS1809 Notice of Certification for Additional 14 Days Intensive Treatment - California
What Is Form DHCS1809?
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 the DHCS1809 Notice of Certification for Additional 14 Days Intensive Treatment?
A: The DHCS1809 Notice of Certification for Additional 14 Days Intensive Treatment is a form used in California to notify individuals of their certification for an additional 14 days of intensive treatment.
Q: Who uses the DHCS1809 form?
A: The DHCS1809 form is used by healthcare providers in California to notify patients of their certification for an additional 14 days of intensive treatment.
Q: What does the DHCS1809 form certify?
A: The DHCS1809 form certifies that an individual requires an additional 14 days of intensive treatment, as determined by their healthcare provider.
Q: How does the DHCS1809 form work?
A: The healthcare provider completes the DHCS1809 form and sends it to the patient, notifying them of their certification for an additional 14 days of intensive treatment.
Form Details:
- Released on June 1, 2013;
- 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 DHCS1809 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
