California
Statewide
Department Of Health And Human Services
Licensing And Certification
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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