CA CDPH 8391 2024-2025 free printable template
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State of California Health and Human Services AgencyCalifornia Department of Public Health
Radiologic Health BranchREPORT OF NAME OR ADDRESS CHANGE
California Code of Regulations, Title 17, Sections
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How to fill out CA CDPH 8391
01
Obtain a copy of CA CDPH 8391 form from the California Department of Public Health website.
02
Fill in the required information at the top of the form including your name, address, and contact information.
03
Provide details regarding the incident or situation that necessitates the report.
04
Include specific dates and times relevant to the information you are reporting.
05
Answer all questions clearly and concisely, ensuring that all requested information is provided.
06
Review the completed form for accuracy, and make sure all sections are filled out as required.
07
Sign and date the form at the bottom to certify that the information provided is true and accurate to the best of your knowledge.
08
Submit the form according to the provided instructions, either electronically or via mail.
Who needs CA CDPH 8391?
01
Individuals or organizations involved in incidents or situations that require reporting to the California Department of Public Health, such as health care workers, facility administrators, or other stakeholders in healthcare settings.
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What is CA CDPH 8391?
CA CDPH 8391 is a form used by the California Department of Public Health to report certain health-related data, particularly related to vital statistics.
Who is required to file CA CDPH 8391?
Health care providers, facilities, and professionals who handle birth or death records in California are required to file CA CDPH 8391.
How to fill out CA CDPH 8391?
To fill out CA CDPH 8391, gather necessary information such as patient details, event specifics, and complete the form according to the provided guidelines, ensuring accuracy and completeness.
What is the purpose of CA CDPH 8391?
The purpose of CA CDPH 8391 is to collect and maintain accurate and comprehensive vital statistics data for public health monitoring and planning.
What information must be reported on CA CDPH 8391?
The information that must be reported on CA CDPH 8391 includes personal details of the individual, the nature of the event being reported (birth or death), and relevant dates and locations.
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