CA SOC 873 free printable template
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The IHSS program provides hands-on and/or verbal assistance reminding or prompting for the services listed above. CALIFORNIA DEPARTMENT OF SOCIAL SERVICES STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY IN-HOME SUPPORTIVE SERVICES IHSS PROGRAM HEALTH CARE CERTIFICATION FORM A. Provide a description of any physical and/or mental condition or functional limitation that has resulted in or contributed to this individual s need for assistance f...
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