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

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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 the SOC873L form?
A: The SOC873L form is the In-home Supportive Services (IHSS) Program Health Care Certification Form.

Q: What is the purpose of the SOC873L form?
A: The purpose of the SOC873L form is to certify the health care needs of individuals applying for the IHSS Program.

Q: Who uses the SOC873L form?
A: The SOC873L form is used by individuals applying for the IHSS Program in California.

Q: What information is required on the SOC873L form?
A: The SOC873L form requires information about the applicant's medical conditions, disabilities, and the need for personal care services.

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Form Details:

  • Released on January 1, 2019;
  • 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;

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

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