-
Templates
Tax FormsFillable tax forms simplify and speed up your tax filing process and aid with recordkeeping.Explore all templatesReal EstateReal estate templates for all cases, from sale to rentals, save you a lot of time and effort.Explore all templatesInsuranceInsurance templates make it easier for agents to manage policies and claims.Explore all templatesLegalLegal templates provide a structured foundation for creating legally binding documents.Explore all templatesMedicalMedical forms help you keep patient documentation organized and secure.Explore all templatesBill of SaleBill of Sale templates streamline the transfer of ownership with clarity and protection.Explore all templatesContractsVarious contract templates ensure efficient and clear legal transactions.Explore all templatesEducationEducational forms and templates enhance the learning experience and student management.Explore all templates
-
Features
FeaturesThe all-in-one document management system has all the features you need to safely and efficiently handle your PDFs. Dive in, learn how to use all the tools, and become a PDF pro.Explore all featuresAI Summarizer Check out the featureAI PDF summarizer makes your document workflow even faster. Ask AI to summarize PDF, assist you with tax forms, complete assignments, and more using just one tool.Sign PDF Check out the featurePDFLiner gives the opportunity to sign documents online, save them, send at once by email or print. Register now, upload your document and e-sign it onlineFill Out PDF Check out the featurePDFLiner provides different tools for filling in PDF forms. All you need is to register, upload the necessary document and start filling it out.Draw on a PDF Check out the featureDraw lines, circles, and other drawings on PDF using tools of PDFLiner online. Streamline your document editing process, speeding up your productivity
- Solutions
- Features
- Blog
- Support
- Pricing
- Log in
- Sign Up
Fillable FORM SOC 873
Get your FORM SOC 873 in 3 easy steps
-
01 Fill and edit template
-
02 Sign it online
-
03 Export or print immediately
What is SOC 873 Form?
IHSS SOC 873 is known as In-Home Supportive Services Program Health Care Certification Form. This document can be used by the person who needs services from the IHSS program. The form has to prove to the state of California that the person that requires the services of health care can’t perform specific activities independently and needs the help of a professional health care employee.
The services have to be provided by professionals certified by the state. The person must have a license to do it. The health care certification SOC 873 has the intention to prove that without the health care requested by the citizen from the IHSS program, this person would risk getting placed in out of home care.
The worker from IHSS has to evaluate this individual who applied for the services and agreed on the condition. This form usually comes attached to other documents required by IHSS that proves the health situation of the applicant and the need to use the IHSS program. There must be proof that without this help the person will be in out-of-home care.
What I need the SOC 873 Form for?
- An IHSS health care certification form SOC 873 is widely used by people who can’t take care of themselves and require extra help from healthcare workers. This form is a request to the IHSS of California to provide care of a person who needs help from the outside;
- Professional health workers can use SOC 873 medical certification form to justify their actions and the need to take care of the applicant. If they need to take part in the IHSS program health care workers have to make sure that the applicant matches basic demands of this program;
- The Health and Human Services Agency needs the form to check the applicant and make sure that there is no other way in the situation.
How to Fill Out SOC 873 Form?
You will find SOC 873 form here on PDFLiner. You can get it free of charge. The form is available to download, but you can always fill it out online and send it to the other party via email. The form is two pages long. It contains a detailed description from the State of California Health and Human Services Agency.
You have to read the information before you begin to fill in anything. Once you complete it, send it to the respondent. You can print the form and hand it in if you want. Here is what you need to include in IHSS form SOC 873:
- Provide detailed information on the applicant, including the name, address, date of birth, country, name of the IHSS worker, phone, number of the case, and fax;
- Write down your name, put the signature, and the date in the authorization to release health care information section. Ask the witness to put the signature and the current date near your signature;
- Leave the section on health care information to be filled by a licensed healthcare professional.
Organizations that work with SOC 873 Form
- State of California Health and Human Services Agency.
Fillable online FORM SOC 873