Form DHCS5267 County Approver Certification & Vendor Appointment Form for Access to Mental Health Provider Information Management (Pims) System - California

Form DHCS5267 County Approver Certification & Vendor Appointment Form for Access to Mental Health Provider Information Management (Pims) System - California

What Is Form DHCS5267?

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.

Form Details:

  • Released on December 1, 2019;
  • 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 DHCS5267 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

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Download Form DHCS5267 County Approver Certification & Vendor Appointment Form for Access to Mental Health Provider Information Management (Pims) System - California

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  • Form DHCS5267 County Approver Certification  Vendor Appointment Form for Access to Mental Health Provider Information Management (Pims) System - California, Page 1
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