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STATE OF CALIFORNIANOTICE OF ACTIONCOUNTY OF Santa Clara HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES INCOME SUPPORTIVE SERVICES (IHSS) Notice Date : 05/04/2016 CHANGE
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How to fill out in-home supportive services recipients

01
Contact the IHSS office to request an application
02
Schedule an in-home assessment with a social worker
03
Complete the application and provide required documentation
04
Wait for approval from the IHSS office
05
Once approved, select a caregiver and begin receiving services

Who needs in-home supportive services recipients?

01
Individuals with disabilities who require assistance with daily tasks
02
Elderly individuals who need help with personal care and household chores
03
Individuals recovering from surgery or illness who are unable to care for themselves
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In-home supportive services recipients are individuals who receive assistance with daily tasks, such as personal care and household chores, in their own homes.
The recipients themselves or their authorized representative are required to file in-home supportive services recipients.
To fill out in-home supportive services recipients, the recipient or their representative must provide information such as hours of care received, caregiver information, and any changes in living situation.
The purpose of in-home supportive services recipients is to ensure that individuals who require assistance with daily tasks can receive the necessary care and support in their own homes.
Information such as the hours of care received, caregiver details, and any changes in living situation must be reported on in-home supportive services recipients.
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