Form SOC873L In-home Supportive Services (Ihss) Program Health Care Certification Form - California

Form SOC873L In-home Supportive Services (Ihss) Program Health Care Certification Form - California

What Is Form SOC873L?

This is a legal form that was released by the California Department of Social 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 SOC873L?
A: Form SOC873L is the In-home Supportive Services (IHSS) Program Health Care Certification Form in California.

Q: What is the purpose of Form SOC873L?
A: The purpose of Form SOC873L is to certify the health care needs of a recipient in the IHSS program.

Q: Who should fill out Form SOC873L?
A: Form SOC873L should be filled out by a health care professional or a licensed practitioner.

Q: What information is required on Form SOC873L?
A: Form SOC873L requires information about the recipient's health conditions, treatments, medications, and any special needs or accommodations.

Q: How often does Form SOC873L need to be filled out?
A: Form SOC873L needs to be filled out annually or whenever there is a significant change in the recipient's health condition.

Q: Is there a fee for submitting Form SOC873L?
A: No, there is no fee for submitting Form SOC873L.

Q: What should I do after filling out Form SOC873L?
A: After filling out Form SOC873L, you should submit it to your local IHSS office.

Q: What happens after submitting Form SOC873L?
A: After submitting Form SOC873L, the recipient's health care needs will be assessed to determine their eligibility for IHSS services.

ADVERTISEMENT

Form Details:

  • Released on February 1, 2023;
  • The latest edition provided by the California Department of Social 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 SOC873L by clicking the link below or browse more documents and templates provided by the California Department of Social Services.

Download Form SOC873L In-home Supportive Services (Ihss) Program Health Care Certification Form - California

4.6 of 5 (21 votes)
  • Form SOC873L In-home Supportive Services (Ihss) Program Health Care Certification Form - California

    1

  • Form SOC873L In-home Supportive Services (Ihss) Program Health Care Certification Form - California, Page 2

    2

  • Form SOC873L In-home Supportive Services (Ihss) Program Health Care Certification Form - California, Page 3

    3

  • Form SOC873L In-home Supportive Services (Ihss) Program Health Care Certification Form - California, Page 4

    4

  • Form SOC873L In-home Supportive Services (Ihss) Program Health Care Certification Form - California, Page 5

    5

  • Form SOC873L In-home Supportive Services (Ihss) Program Health Care Certification Form - California, Page 1
  • Form SOC873L In-home Supportive Services (Ihss) Program Health Care Certification Form - California, Page 2
  • Form SOC873L In-home Supportive Services (Ihss) Program Health Care Certification Form - California, Page 3
  • Form SOC873L In-home Supportive Services (Ihss) Program Health Care Certification Form - California, Page 4
  • Form SOC873L In-home Supportive Services (Ihss) Program Health Care Certification Form - California, Page 5
Prev 1 2 3 4 5 Next
ADVERTISEMENT

Related Documents