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Form MC5258 Vendor Approver Certification for Access to Confidential Mental Health Information - California
What Is Form MC5258?
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 purpose of form MC5258?
A: Form MC5258 is used for vendor approver certification for access to confidential mental health information in California.
Q: Who needs to fill out form MC5258?
A: Any vendors who need access to confidential mental health information in California must fill out form MC5258.
Q: What type of information does form MC5258 pertain to?
A: Form MC5258 pertains to confidential mental health information.
Q: Is form MC5258 mandatory?
A: Yes, form MC5258 is mandatory for vendors who require access to confidential mental health information in California.
Form Details:
- Released on March 1, 2013;
- 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 MC5258 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
