PDF
Word
Form DHCS4509 Established Ccs / Ghpp Client Service Authorization Request (Sar) - California
What Is Form DHCS4509?
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 DHCS4509 form?A: The DHCS4509 form is the Client Service Authorization Request (SAR) form for the California Children's Services (CCS) and Genetically Handicapped Persons Program (GHPP).
Q: What does the DHCS4509 form do?A: The DHCS4509 form is used to request authorization for services for clients enrolled in the California Children's Services (CCS) and Genetically Handicapped Persons Program (GHPP).
Q: Who uses the DHCS4509 form?A: Healthcare providers and clients enrolled in the California Children's Services (CCS) and Genetically Handicapped Persons Program (GHPP) use the DHCS4509 form.
Q: Is the DHCS4509 form specific to California?A: Yes, the DHCS4509 form is specific to California and is used for services provided by the California Children's Services (CCS) and Genetically Handicapped Persons Program (GHPP).
Form Details:
- Released on September 1, 2015;
- 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 DHCS4509 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
Download Form DHCS4509 Established Ccs / Ghpp Client Service Authorization Request (Sar) - California
1
2
