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How to fill out the Soc 321 online
This guide provides detailed instructions on how to effectively complete the Soc 321 form online. The Soc 321 is a request for order and consent for paramedical services essential for individuals applying for In-Home Supportive Services.
Follow the steps to complete the Soc 321 form thoroughly.
- Click the ‘Get Form’ button to obtain the Soc 321 form and open it in the online editor.
- Fill in the patient's name and Medi-Cal identification number at the top of the form. Ensure that the information provided is accurate and clearly written.
- In the section addressed to the doctor, you may leave a message for the medical professional indicating what specific paramedical services are being requested.
- Check either 'YES' or 'NO' to indicate whether the patient has a medical condition that necessitates IHSS paramedical services. If 'YES', provide details of the conditions in the designated area.
- List the paramedical services needed by the patient. Fill in the type of service, the time required for each service, the frequency of service, and the time period for which these services should be provided.
- Certify the information by entering the name, title, and contact information of the licensed professional completing the form. Ensure accuracy and completeness in these details.
- Sign and date the form in the certification section to verify that the services ordered are necessary.
- Obtain the patient's informed consent by having them sign and date the specified section. Ensure they understand the risks associated with the provision of the services.
- Final review: Go over all filled-out sections to ensure that no information is missing, and all details are correct.
- Once completed, save changes to the form. You can also download, print, or share the completed Soc 321 form as needed.
Complete your documents online for a seamless experience.
ELIGIBILITY & CASE MANAGEMENT The In-Home Supportive Services (IHSS) authorized representative process is intended to ensure that IHSS recipients with cognitive impairments have the assistance needed to secure services from the IHSS program, allowing them to remain safely in their own homes.
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