This is a legal form that was released by the California Department of Rehabilitation - 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 the Form DR361?
A: Form DR361 is the Health Care Provider Application in California.
Q: Who needs to fill out the Form DR361?
A: Health care providers in California need to fill out the Form DR361.
Q: What is the purpose of the Form DR361?
A: The purpose of the Form DR361 is to apply to become a health care provider in California.
Q: Is there a fee to submit the Form DR361?
A: Yes, there is a fee associated with submitting the Form DR361.
Q: What information is required on the Form DR361?
A: The Form DR361 requires information about the health care provider's background, qualifications, and contact information.
Q: Is the Form DR361 specific to a certain type of health care provider?
A: No, the Form DR361 is applicable to all health care providers in California.
Q: Are there any supporting documents required with the Form DR361?
A: Yes, supporting documents such as proof of licensure or certification may be required to accompany the Form DR361.
Form Details:
Download a fillable version of Form DR361 by clicking the link below or browse more documents and templates provided by the California Department of Rehabilitation.