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724
![Form E "Summary of Laboratory's Written Method for Methadone Drug Analysis" - California](https://data.templateroller.com/pdf_docs_html/2020/20202/2020278/form-e-summary-of-laboratory-s-written-method-for-methadone-drug-analysis-california.png "Form E "Summary of Laboratory's Written Method for Methadone Drug Analysis" - California")
![Form B (FDL514) "Demonstration of Qualifications of a Methadone Drug Analysis Supervisor" - California](https://data.templateroller.com/pdf_docs_html/2020/20202/2020274/form-b-fdl514-demonstration-of-qualifications-of-a-methadone-drug-analysis-supervisor-california.png "Form B (FDL514) "Demonstration of Qualifications of a Methadone Drug Analysis Supervisor" - California")
![Form A (LAB513) "Application for Methadone Drug Analysis Laborathory License" - California](https://data.templateroller.com/pdf_docs_html/2020/20202/2020275/form-a-lab513-application-for-methadone-drug-analysis-laborathory-license-california.png "Form A (LAB513) "Application for Methadone Drug Analysis Laborathory License" - California")
![Form D "Synopsis of Methadone Drug Analysis Laboratory's Methods" - California](https://data.templateroller.com/pdf_docs_html/2020/20202/2020276/form-d-synopsis-of-methadone-drug-analysis-laboratory-s-methods-california.png "Form D "Synopsis of Methadone Drug Analysis Laboratory's Methods" - California")
![Form C "Methadone Programs Serviced by This Laboratory" - California](https://data.templateroller.com/pdf_docs_html/2008/20088/2008879/form-c-methadone-programs-serviced-by-this-laboratory-california.png "Form C "Methadone Programs Serviced by This Laboratory" - California")
![Form CDPH53 "Disclosure Statement - Human Prescription Drug Manufacturers" - California](https://data.templateroller.com/pdf_docs_html/2101/21016/2101619/form-cdph53-disclosure-statement-human-prescription-drug-manufacturers-california.png "Form CDPH53 "Disclosure Statement - Human Prescription Drug Manufacturers" - California")
![Form VS44 "Court Report of Adoption" - California](https://data.templateroller.com/pdf_docs_html/2080/20801/2080166/form-vs44-court-report-of-adoption-california.png "Form VS44 "Court Report of Adoption" - California")
![Form VS24 "Affidavit to Amend a Record" - California](https://data.templateroller.com/pdf_docs_html/2061/20619/2061915/form-vs24-affidavit-to-amend-a-record-california.png "Form VS24 "Affidavit to Amend a Record" - California")
![Form VS22 "Acknowledgement of Paternity/Parentage" - California](https://data.templateroller.com/pdf_docs_html/2061/20619/2061912/form-vs22-acknowledgement-of-paternity-parentage-california.png "Form VS22 "Acknowledgement of Paternity/Parentage" - California")
![Form VS85 "Delayed Registration of Birth" - California](https://data.templateroller.com/pdf_docs_html/2061/20619/2061917/form-vs85-delayed-registration-of-birth-california.png "Form VS85 "Delayed Registration of Birth" - California")
![Form VS21 "Application to Amend a Birth Record - Adjudication of Facts of Parentage" - California](https://data.templateroller.com/pdf_docs_html/2061/20619/2061914/form-vs21-application-to-amend-a-birth-record-adjudication-of-facts-of-parentage-california.png "Form VS21 "Application to Amend a Birth Record - Adjudication of Facts of Parentage" - California")
![Form VS23 "Amendment of Birth Record to Reflect Court Order Change of Name" - California](https://data.templateroller.com/pdf_docs_html/2061/20619/2061913/form-vs23-amendment-of-birth-record-to-reflect-court-order-change-of-name-california.png "Form VS23 "Amendment of Birth Record to Reflect Court Order Change of Name" - California")
![Form VS20 "Sworn Statement" - California](https://data.templateroller.com/pdf_docs_html/2061/20619/2061911/form-vs20-sworn-statement-california.png "Form VS20 "Sworn Statement" - California")
![Form VS12 "Application for Certified Copy of Fetal Death Record" - California](https://data.templateroller.com/pdf_docs_html/1776/17764/1776489/form-vs-12-application-certified-copy-fetal-death-record-california.png "Form VS12 "Application for Certified Copy of Fetal Death Record" - California")
![Form MDL-VPP-03 "Bordetella Pertussis Pcr Specimen Test Request" - California](https://data.templateroller.com/pdf_docs_html/1777/17775/1777548/form-mdl-vpp-03-bordetella-pertussis-pcr-specimen-test-request-california.png "Form MDL-VPP-03 "Bordetella Pertussis Pcr Specimen Test Request" - California")
![Form MDL-VPP-01 "Bacterial Sepsis/Meningitis Pcr Specimen Test Request" - California](https://data.templateroller.com/pdf_docs_html/1777/17775/1777547/form-mdl-vpp-01-bacterial-sepsis-meningitis-pcr-specimen-test-request-california.png "Form MDL-VPP-01 "Bacterial Sepsis/Meningitis Pcr Specimen Test Request" - California")
![Form TCB-01 "Adult Tuberculosis (Tb) Risk Assessment Questionnaire" - California](https://data.templateroller.com/pdf_docs_html/1895/18959/1895974/form-tcb-01-adult-tuberculosis-tb-risk-assessment-questionnaire-california.png "Form TCB-01 "Adult Tuberculosis (Tb) Risk Assessment Questionnaire" - California")
Form TCB-01 "Adult Tuberculosis (Tb) Risk Assessment Questionnaire" - California
Size: 202 KB
2 pages
![Form CDPH270 "Certification Form for Clinics and Freestanding Outpatient Clinic Services of a Hospital" - California](https://data.templateroller.com/pdf_docs_html/2109/21098/2109890/form-cdph270-certification-form-for-clinics-and-freestanding-outpatient-clinic-services-of-a-hospital-california.png "Form CDPH270 "Certification Form for Clinics and Freestanding Outpatient Clinic Services of a Hospital" - California")
![Form LAB-193 "Notice of Laboratory Information Change" - California](https://data.templateroller.com/pdf_docs_html/2091/20911/2091187/form-lab-193-notice-of-laboratory-information-change-california.png "Form LAB-193 "Notice of Laboratory Information Change" - California")
![Form VS24C "Affidavit to Amend a Marriage Record" - California](https://data.templateroller.com/pdf_docs_html/2061/20619/2061916/form-vs24c-affidavit-to-amend-a-marriage-record-california.png "Form VS24C "Affidavit to Amend a Marriage Record" - California")
![Form VS107 "Supplemental Name Report - Birth" - California](https://data.templateroller.com/pdf_docs_html/2061/20619/2061921/form-vs107-supplemental-name-report-birth-california.png "Form VS107 "Supplemental Name Report - Birth" - California")
![Form LAB140 "Covid-19 Temporary Testing Site Application" - California](https://data.templateroller.com/pdf_docs_html/2085/20853/2085320/form-lab140-covid-19-temporary-testing-site-application-california.png "Form LAB140 "Covid-19 Temporary Testing Site Application" - California")
![Form VS105 "Order Establishing Fact of Fetal Death" - California](https://data.templateroller.com/pdf_docs_html/2117/21179/2117943/form-vs105-order-establishing-fact-of-fetal-death-california.png "Form VS105 "Order Establishing Fact of Fetal Death" - California")
![Form VS108 "Order Establishing Fact of Birth" - California](https://data.templateroller.com/pdf_docs_html/2117/21179/2117941/form-vs108-order-establishing-fact-of-birth-california.png "Form VS108 "Order Establishing Fact of Birth" - California")
![Form VS122 "Order Establishing Fact of Marriage" - California](https://data.templateroller.com/pdf_docs_html/2117/21179/2117942/form-vs122-order-establishing-fact-of-marriage-california.png "Form VS122 "Order Establishing Fact of Marriage" - California")
![Form VS151 "Application for California's Birth and Death Data Files for Research Use (Additional Years of Data)" - California](https://data.templateroller.com/pdf_docs_html/2061/20619/2061928/form-vs151-application-for-california-s-birth-and-death-data-files-for-research-use-additional-years-of-data-california.png "Form VS151 "Application for California's Birth and Death Data Files for Research Use (Additional Years of Data)" - California")
![Form CDPH183 "Home Health Aide (Hha) Certification List" - California](https://data.templateroller.com/pdf_docs_html/2061/20619/2061933/form-cdph183-home-health-aide-hha-certification-list-california.png "Form CDPH183 "Home Health Aide (Hha) Certification List" - California")
![Form CDPH502 "Application for Ait Program" - California](https://data.templateroller.com/pdf_docs_html/2061/20619/2061941/form-cdph502-application-for-ait-program-california.png "Form CDPH502 "Application for Ait Program" - California")
![Form CDPH524 "Master's or Reciprocity Application for Nursing Home Administrator Examination" - California](https://data.templateroller.com/pdf_docs_html/2061/20619/2061951/form-cdph524-master-s-or-reciprocity-application-for-nursing-home-administrator-examination-california.png "Form CDPH524 "Master's or Reciprocity Application for Nursing Home Administrator Examination" - California")
![Form CDPH522 "Request for Provider Renewal" - California](https://data.templateroller.com/pdf_docs_html/2061/20619/2061947/form-cdph522-request-for-provider-renewal-california.png "Form CDPH522 "Request for Provider Renewal" - California")
![Form CDPH508 "Application to Become a Provider of Continuing Education" - California](https://data.templateroller.com/pdf_docs_html/2061/20619/2061943/form-cdph508-application-to-become-a-provider-of-continuing-education-california.png "Form CDPH508 "Application to Become a Provider of Continuing Education" - California")
![Form CDPH525 "Application for Provisional License" - California](https://data.templateroller.com/pdf_docs_html/2061/20619/2061952/form-cdph525-application-for-provisional-license-california.png "Form CDPH525 "Application for Provisional License" - California")
![Form CDPH521 "Re-examination Application for Nursing Home Administrator National Examination" - California](https://data.templateroller.com/pdf_docs_html/2061/20619/2061948/form-cdph521-re-examination-application-for-nursing-home-administrator-national-examination-california.png "Form CDPH521 "Re-examination Application for Nursing Home Administrator National Examination" - California")
![Form CDPH519 "Provider Request for Course Renewal" - California](https://data.templateroller.com/pdf_docs_html/2061/20619/2061944/form-cdph519-provider-request-for-course-renewal-california.png "Form CDPH519 "Provider Request for Course Renewal" - California")
