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O. Box 997414 MS 7610 Sacramento CA 95899-7414 Telephone 916-327-5106 Fax 916-440-7999 GENERAL LICENSE REGISTRATION FORM Registrant Appointed Person Company Name Name Registrant s Name Title Telephone Number Address City State Zip Code Current Radioactive Material License Specific License RML if applicable The Generally Licensed Device requirements referenced below are contained in Title 17 California Code of Regulations.

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The California Standard Admission Agreement is an admission contract that this Facility is required by state law and regulation to use. It is a legally binding agreement that defines the rights and obligations of each person (or party) signing the contract. Please read this Agreement carefully before you sign it.

To qualify medically, an individual must receive the skilled nursing level of care for longer than thirty days. This determination is dependent on the applicant's ability or inability to complete at least four out of six Activities of Daily Living (ADLs) without help.

The Senior Care Program issues licenses for Residential Care for the Elderly and monitors continuing care retirement communities to ensure compliance with the Title 22 Regulations pertaining to health and safety of residents, care and supervision, quality of service, physical plant, and day-to-day operations.

The California Department of Public Health, Licensing and Certification Program (CDPH, L&C) is the California state agency that licenses and regulates health facilities such as a nursing home.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Cdph 327
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2021 CA Form 8240
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