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Get and Sign Ihss Form Soc 2298
Protective Supervision 24-Hours-A-Day Coverage Plan SOC 825 is an optional form for County use. STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES PROTECTIVE SUPERVISION 24-HOURS-A-DAY COVERAGE PLAN PLEASE PRINT NAME OF IHSS RECIPIENT RECIPIENT S TELEPHONE ADDRESS OF IHSS RECIPIENT NAME OF PRIMARY CONTACT RESPONSIBLE CONTACT S TELEPHONE RELATIONSHIP TO RECIPIENT As the primary contact for arranging the 24-hour-a-day coverage plan for the above named...
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