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DocuSign Envelope ID: 7EB40236CC834347BEE9D1AB63F72381MEMORANDUM Date:August 18, 2021To:California Department of Corrections and Rehabilitation Headquarters, Regional and Field Office Locations All
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Obtain the California Correctional Health Care form from the appropriate institution or agency.
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Who needs california correctional health care?

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Individuals who are incarcerated in California correctional facilities and are in need of healthcare services.
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California Correctional Health Care Services (CCHCS) is the department responsible for providing healthcare services to inmates within California's correctional system.
Healthcare providers and facilities within the California correctional system are required to file California Correctional Health Care reports.
California Correctional Health Care reports can be filled out online through the designated portal provided by CCHCS.
The purpose of California Correctional Health Care is to ensure that inmates receive appropriate healthcare services while incarcerated.
Information regarding inmate health records, medications administered, treatments provided, and any incidents regarding inmate health must be reported on California Correctional Health Care reports.
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