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The Diabetes Center Specialty Services Pavilion, Level 1 43rd and Emile St. Phone: 402.559.8700 Fax: 402.559.5080Appointment Date:MR#: Patient Name:DOB: Best Phone Number to Reach Patient: Insurance:

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What is online cdss ca shd?

Online CDSS CA SHD stands for Online California Department of Social Services Community Care Licensing Social History Disclosure form.

Who is required to file online cdss ca shd?

Anyone applying for a license or working in a facility overseen by the California Department of Social Services Community Care Licensing is required to file online CDSS CA SHD.

How to fill out online cdss ca shd?

To fill out online CDSS CA SHD, individuals must provide accurate and detailed information about their social history as requested on the form.

What is the purpose of online cdss ca shd?

The purpose of online CDSS CA SHD is to gather information about an individual's social history to determine eligibility for a license or work in a facility under the California Department of Social Services Community Care Licensing.

What information must be reported on online cdss ca shd?

On online CDSS CA SHD, individuals must report information related to their personal background, criminal history, substance abuse, employment history, and other relevant details.

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