Affidavit Regarding Patient Money {HS 400} | Pdf Fpdf Doc Docx | California

 California   Statewide   Department Of Health And Human Services   Licensing And Certification 
Affidavit Regarding Patient Money {HS 400} | Pdf Fpdf Doc Docx | California

Last updated: 5/30/2015

Affidavit Regarding Patient Money {HS 400}

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Description

HS 400, In accordance with California Health and Safety Code, Section 1318, this form is intended to ensure that all licensed health facilities comply with statutory bonding requirements if they handle patient money. This form is required on all new applications and whenever the Department deems it is necessary to reevaluate the bonding need of a health facility. www.FormsWorkflow.com

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