WebTo apply for IHSS call: 916-874-9471 Monday – Friday (9:00 am – 4:00 pm) Or complete and submit an application for In-Home Supportive Services: · SOC 295 14pt Font · SOC 295 18pt Font Mail to: In-Home Supportive Services PO BOX 269131 Sacramento, CA 95826 Or FAX to: (916) 854-8828 Application Process Overview Web27 apr. 2016 · 1. For information and general assistance, please call the Aging and Adult Services hotline at: 1-800-675-8437. If you require emergency medical attention, please call 911. 2. To apply for IHSS assistance, please fill out our online Referral Form. If you need assistance completing the Referral Form, please contact our Aging and Adult Services ...
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WebSOC 846. IHSS Provider Enrollment Agreement. DAAS DEC 1F. Declaration. DAAS/APS 261 IP. Hire a Care Provider - Human Services Department Call our office (831) 454-4101 to request a IHSS Recipient Designation of Provider form (SOC 426A) so your new provider can receive his/her time sheets. Rate free ... WebDownload SOC 2274 - In-Home Supportive Services Program Accompaniment to Medical Appointment – Public Social Services (Los Angeles County, CA) form maytag wjre5550h1ww wont agatate or spin
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WebIHSS services include: housekeeping, meal preparation, meal clean-up, routine laundry, shopping for food or other necessities, assistance with respiration, bowel and bladder care, feeding, bed baths, dressing, menstrual care, assistance with ambulation, transfers, bathing and grooming, rubbing skin and repositioning, care/assistance with … Web1 mrt. 2024 · What Is Form SOC2271? This is a legal form that was released by the California Department of Social Services - a government authority operating within … WebName of Applicant: Social Security Number: State of California – Health and Human Services Agency California Department of Social Services APPLICATION FOR IN-HOME SUPPORTIVE SERVICES SOC 295 (9/18) Page 1 of 8 To the Applicant: All sections of this form must be completed. Information provided is subject to verification. maytag wisconsin rapids on hwy 54