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- Recipient Forms - Department of Public Social Services
If you need assistance completing any of these forms, please contact the IHSS Helpline at (888) 822-9622 You have the right to interpreter services provided by the County at no cost to you
- In-Home Supportive Services (IHSS) Program
You must submit a completed Health Care Certification form How the program works: A county social worker will interview you at your home to determine your eligibility and need for IHSS
- Become an IHSS Recipient - SFHSA. org
Apply in one of the following ways: Call (415) 355-6700 Fax or mail the completed IHSS Referral Form Community providers or discharge planners should submit referrals online at SFGetCare org
- APPLICATION PACKET IN-HOME SUPPORTIVE SERVICES (IHSS)
How does one apply? If you are interested in applying for IHSS, or know someone who might be eligible, you will need to contact Shasta County Adult Services at 225-5507 An application packet will be sent to the person
- Apply for In-Home Supportive Services - Santa Clara County, California
Apply to receive care Sign-up for electronic access If you meet the IHSS program's eligibility requirements, follow these steps to apply for services Gather important information You will need your contact information, date of birth, social security number, and Medi-Cal number
- IHSS Forms - San Bernardino County, California
The IHSS Program is a federal, state and locally funded program designed to help pay for services provided to you so that you can remain safely in your own home You may be eligible if you are 65 years of age, disabled, or blind Disabled children are also eligible for IHSS
- How Do I Apply - County of Orange Social Services Agency
You can print out IHSS applications from the following links: Or hard copies of the IHSS Application (SOC 295) will be available outside the front door of our office Our office is located at 2020 W Walnut St , Santa Ana, CA 92703
- IHSS Recipient Resource - California Dept. of Social Services
Individuals can enter their 5-digit ZIP code to be connected to their county Adult Protective Services staff, 7 days a week, 24 hours a day
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