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California Department of Human Resources Reset Form Certification of Health Care Provider for Family Member's Serious Health Condition Print Form CALR 755 (Rev 2/13) Family and Medical Leave Act (FMLA)
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What is certification of health care?
Certification of health care is a document that verifies an individual's health status or medical condition.
Who is required to file certification of health care?
Individuals who are applying for health insurance or medical benefits may be required to file certification of health care.
How to fill out certification of health care?
Certification of health care can typically be filled out by a healthcare provider or a licensed medical professional who has knowledge of the individual's health condition.
What is the purpose of certification of health care?
The purpose of certification of health care is to provide proof of an individual's health status or medical condition for insurance or benefit purposes.
What information must be reported on certification of health care?
Information such as the individual's medical history, current health condition, and any treatments or medications being received may need to be reported on certification of health care.
When is the deadline to file certification of health care in 2023?
The deadline to file certification of health care in 2023 may vary depending on the specific insurance or benefit program requirements. It is recommended to check with the relevant organization for the exact deadline.
What is the penalty for the late filing of certification of health care?
The penalty for late filing of certification of health care may include denial of insurance coverage or benefits, fines, or other consequences as specified by the governing regulations of the program.
How do I make changes in certification of health care?
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