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IN-HOME SUPPORTIVE SERVICES ASSESSMENT State of California Health and Welfare Agency Department of Social Services BIRTHDATE A CITY RECIPIENT # 36 2456789 B CD SEQ # AID CODE SOCIAL SECURITY NO. SEX
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IHSS Assessment SOC 293 is a form used to assess a recipient's eligibility for In-Home Supportive Services (IHSS) in California.
Recipients of IHSS are required to file the IHSS Assessment SOC 293 form.
The IHSS Assessment SOC 293 form can be filled out with the help of the IHSS worker assigned to the recipient.
The purpose of IHSS Assessment SOC 293 is to evaluate the recipient's need for supportive services to assist with daily living activities.
The IHSS Assessment SOC 293 form requires information about the recipient's medical condition, living situation, and support needs.
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