Form Cdhp 609 PDF Details

When healthcare facilities in California, such as adult day health centers, acute psychiatric hospitals, general acute care hospitals, special hospitals, and skilled nursing facilities, aim to open, expand, or modify their services, the CDHP 609 form becomes a critical step in the process. This document, brought forth by the State of California Health and Human Services Agency alongside the California Department of Public Health, serves as a request form for different types of beds or services these facilities wish to provide. Facilities looking to establish themselves or those planning to change their capacity, service offerings, or bed classifications need to fill out this form meticulously. It complements the application form HS 200, adding a layer of specificity regarding the facility's intended operations, ranging from acute respiratory care services to burn centers, and from coronary care units to skilled nursing services. Additionally, it touches upon the variety of medical services a facility aims to offer, highlighting the flexibility and breadth of care options available within the state's healthcare system. This comprehensive approach ensures that facilities are well-equipped and adequately prepared to meet the diverse healthcare needs of their communities, aligning with regulatory standards and expectations.

QuestionAnswer
Form NameForm Cdhp 609
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namescdph 609, cdph 609 form, cdph hs 609 form, form 609

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CLEAR

 

State of California-Health and Human Services Agency

California Department of Public Health

 

 

 

 

 

BED OR SERVICE REQUEST

 

Date

 

 

 

 

 

 

 

 

 

This form is intended to identify the types of beds or services requested for adult day health center, acute psychiatric hospitals, general acute care hospitals, special hospitals and skilled nursing facilities. For new facilities, complete the column marked “Requested Beds.” For existing facilities, complete both columns. The form is to accompany the application form (HS 200) for any new facility, change in capacity, service, or bed classification.

Name of facility

Type

Address (number, street)

City

State

ZIP code

Please enter the number of beds requested for each category:

EXISTING BEDS

REQUESTED BEDS

_____ Acute Respiratory Care Services

_____

Acute Respiratory Care Services

_____ Burn Center

_____ Burn Center

_____ Cardiovascular Surgery Service

_____

Cardiovascular Surgery Service

_____ Coronary Care Unit

_____ Coronary Care Unit

_____

General Acute Care (Unspecified)

_____

General Acute Care (Unspecified)

_____ General Nursing (Long-Term)

_____ General Nursing (Long-Term)

_____ Intensive Care (Newborn)

_____

Intensive Care (Newborn)

_____

Intensive Care Unit

_____

Intensive Care Unit

_____

Pediatric Service

_____

Pediatric Service

_____

Perinatal Unit

_____

Perinatal Unit

_____

Psychiatric Unit

_____

Psychiatric Unit

_____

Rehabilitation Center

_____

Rehabilitation Center

_____ Renal Transplant Center

_____

Renal Transplant Center

_____

Respiratory Care Service

_____

Respiratory Care Service

_____

Skilled Nursing Service (DP)

_____

Skilled Nursing Service (DP)

_____ Other (specify) ______________________

_____ Other (specify) ______________________

_____ Other (specify) ______________________

_____ Other (specify) ______________________

_____

APPROVED CAPACITY

_____

APPROVED CAPACITY (For Departmental use only)

___________________________________________________________________________________________________

Please check services which the facility currently provides or is requesting:

EXISTING SERVICES

REQUESTED SERVICES

_____ Adult Day Program (only applies to an ADHC)

_____ Adult Day Program (only applies to an ADHC)

_____ Basic Emergency Physician on Duty

_____ Basic Emergency Physician on Duty

_____

Cardiovascular Surgery

_____

Cardiovascular Surgery

_____

Chronic Dialysis Service

_____

Chronic Dialysis Service

_____ Comprehensive Emergency

_____ Comprehensive Emergency

_____

Dental Service

_____

Dental Service

_____ Nuclear Medicine Service

_____ Nuclear Medicine Service

_____ Occupational Therapy Service

_____ Occupational Therapy Service

_____

Outpatient Service (i.e. Family Practice, Pediatrics,

_____

Outpatient Service (i.e. Family Practice, Pediatrics,

 

Primary Care, Rural Health Clinic, etc.)

 

Primary Care, Rural Health Clinic, etc.)

 

Specify: _____________________________

 

Specify: ____________________________

 

Specify: _____________________________

 

Specify: ____________________________

_____

Physical Therapy

_____

Physical Therapy

_____

Podiatric Service

_____

Podiatric Service

_____ Radiation Therapy

_____ Radiation Therapy

_____

Social Service

_____

Social Service

_____

Speech Pathology and/or Audiology Service

_____

Speech Pathology and/or Audiology Service

_____ Other (specify): _______________________

_____ Other (specify): _______________________

_____ Other (specify): _______________________

_____ Other (specify): _______________________

CDPH 609 (12/11)

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