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Get the free New Referral CCS/GHPP Client Service Authorization Request (SAR)

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State of California Health and Human Services AgencyDepartment of Health Care ServicesDEPARTMENT OF HEALTH CARE SERVICES INVENTORY OF COUNTY 5150 DESIGNATED FACILITIESSTATE OF CALIFORNIA Department
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New referral ccsghpp client is a form for referring a new client to the ccsghpp program.
Healthcare providers or social workers referring a new client to the ccsghpp program are required to file new referral ccsghpp client.
To fill out new referral ccsghpp client, the provider must provide information about the client's medical history, current health status, and reasons for referral.
The purpose of new referral ccsghpp client is to facilitate the referral process for new clients to the ccsghpp program.
Information such as client's demographics, medical history, current health status, and reasons for referral must be reported on new referral ccsghpp client.
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