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State of California Health and Human Services Agency California Department of Public Health Name Birth date I.D. number EDD COMPREHENSIVE PERINATAL SERVICES PROGRAM INITIAL COMBINED ASSESSMENT PERSONAL
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How to fill out initial combined assessment
How to fill out an initial combined assessment:
01
Start by gathering all the necessary information and documents required for the assessment.
02
Carefully read through the assessment form and instructions provided to ensure you understand the process.
03
Begin by entering your personal details accurately, such as your name, contact information, and any identification numbers required.
04
Proceed to the next section, which typically focuses on your medical history. Provide any relevant information regarding your past or current health conditions, medications, allergies, or surgeries.
05
If applicable, include information about any disabilities or impairments that may require accommodation.
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Next, you may be asked to provide details about your social and occupational history. This can include information about your education, employment status, and living situation.
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Some assessments might require you to provide information related to your mental health or emotional well-being. Be honest and thorough in answering these questions to ensure accurate assessment outcomes.
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Finally, review all the information provided to ensure its accuracy and completeness.
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Sign and submit the assessment form as instructed, ensuring that it is done within the specified time frame.
Who needs an initial combined assessment?
01
Individuals who are seeking certain benefits or services may require an initial combined assessment.
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This assessment helps gather comprehensive information about an individual's situation, allowing relevant organizations or authorities to determine eligibility or appropriate support.
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Examples of situations that may necessitate an initial combined assessment include applications for disability benefits, access to social services, or medical evaluations for specific treatments.
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The exact requirements for an initial combined assessment may vary depending on the specific benefits or services being sought.
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It is recommended to consult the relevant authorities or organizations to determine whether an initial combined assessment is required in your particular situation.
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What is initial combined assessment?
Initial combined assessment is a form or report that combines various assessments or evaluations into one comprehensive document.
Who is required to file initial combined assessment?
All taxpayers or entities that meet the criteria set by the tax authority are required to file the initial combined assessment.
How to fill out initial combined assessment?
To fill out the initial combined assessment, taxpayers need to gather all relevant financial information and follow the instructions provided by the tax authority.
What is the purpose of initial combined assessment?
The purpose of the initial combined assessment is to streamline the assessment process and provide a comprehensive overview of the taxpayer's financial situation.
What information must be reported on initial combined assessment?
Taxpayers must report their income, expenses, assets, liabilities, and any other relevant financial information on the initial combined assessment.
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