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REQUEST FOR ORDER AND …

    https://cdss.ca.gov/cdssweb/entres/forms/English/SOC321.pdf

    REQUEST FOR ORDER AND CONSENT

      https://file.lacounty.gov/SDSInter/dpss/1024233_SOC321.pdf
      You are asked to indicate on this form what specific services are needed ... List the paramedical services which are needed and should be provided by IHSS in your …

    Paramedical Services through the IHSS Program | Disability …

      https://www.disabilityrightsca.org/publications/paramedical-services-through-the-ihss-program
      Paramedical services must be provided at the licensed health care professional’s direction. 4 The licensed health care professional must determine the time …

    Department Office of of Health Health Insurance

      https://www.health.ny.gov/forms/doh-2015.pdf
      CERTIFICATION STATEMENT: I (or the entity making the request) understand that orders for Medicaid-funded travel may result from the completion of this form. I (or the entity …



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