Form DHCS4481 Outpatient Infant Hearing Screening Provider Application - California

What Is Form DHCS4481?

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 Form DHCS4481?A: Form DHCS4481 is the Outpatient Infant Hearing Screening Provider Application in California.

Q: What is the purpose of Form DHCS4481?A: The purpose of Form DHCS4481 is to apply to become an outpatient infant hearing screening provider in California.

Q: Who needs to fill out Form DHCS4481?A: Anyone who wants to become an outpatient infant hearing screening provider in California needs to fill out Form DHCS4481.

Q: Is there a fee to submit Form DHCS4481?A: No, there is no fee to submit Form DHCS4481.

Q: What information do I need to provide on Form DHCS4481?A: You will need to provide your personal information, contact information, and details about your qualifications and experience as an infant hearing screening provider.

Q: How long does it take to process Form DHCS4481?A: The processing time for Form DHCS4481 may vary, but it typically takes a few weeks to be processed.

Q: What happens after I submit Form DHCS4481?A: After you submit Form DHCS4481, it will be reviewed by the California Department of Health Care Services. If approved, you will become a certified outpatient infant hearing screening provider in California.

Q: How long is the certification valid for?A: The certification as an outpatient infant hearing screening provider in California is valid for one year. You will need to renew it annually.