Get State Of California Health And Human Services Agency Gray Davis, Governor Department Of Health

This guide provides a clear, step-by-step approach to filling out the STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY GRAY DAVIS, Governor DEPARTMENT OF HEALTH form online. Whether you are new to digital document management or looking for specific instructions, this guide is here to assist you.

Follow the steps to successfully complete the survey form.

1. Click ‘Get Form’ button to access the survey form and open it in the editor.
2. Read through the introduction on the form carefully to understand its purpose, which is to gather information about local governmental agencies' (LGAs) participation in targeted case management programs.
3. In the designated section, identify each of the five programs listed: Public Health, Outpatient Clinics, Public Guardian, Linkages, and Adult Probation. Review the target groups for each program to ensure accurate selection.
4. For each program, indicate whether your agency will participate by marking the appropriate checkbox next to 'Agency will participate' or 'Agency will not participate'.
5. Once you have made your selections, locate the signature line on the form. Provide your signature as the TCM Coordinator and include your printed name and the date.
6. After completing the form, review all entries for accuracy. Ensure that all fields are properly filled, especially the agency's name and contact information.
7. Finally, save your completed form. You have the option to download, print, or share it as needed, or you may choose to submit it directly following the completed instructions.

Complete your documents online today for smooth and efficient processing.