Form Cdph 183 PDF Details

The process of certifying Home Health Aides (HHAs) in California is governed by stringent guidelines and requirements, as detailed in the CDPH 183 form issued by the State of California Health and Human Services Agency, California Department of Public Health (CDPH). This form serves as a critical conduit for HHA Training Programs to submit student data to the Aide and Technician Certification Section (ATCS) for certification purposes. It delineates clear instructions on how and when to submit this essential information, post the completion of either a 40-hour or a 120-hour HHA Training Program. The certification overseen by a Registered Nurse (RN) validates that the listed individuals have undergone and successfully completed the approved training, qualifying them for HHA certification. The inclusion of a privacy statement concerning the mandatory disclosure of Social Security Numbers (SSNs) underlines the legal and identification prerequisites attached to the certification process. This mandatory disclosure is aimed at facilitating child support orders, verifying application details, and ensuring the integrity of disciplinary actions, among other regulatory and identification purposes. Thus, the CDPH 183 form is not only a testament to the completion of required training by aspiring HHAs but also a gateway to ensuring that qualified individuals are recognized and appropriately certified in the State of California, maintaining high standards of care and legal compliance within the health services sector.

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Form NameForm Cdph 183
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameslab 183 form, amazon, lab183, cdph lab 183 form

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