Get the up-to-date soc873 2025 now

Show details

4.8 out of 5

62 votes

The document is a Health Care Certification Form for the In-Home Supportive Services (IHSS) program in California. It requires information from both the applicant/recipient and a licensed health care professional to assess eligibility for IHSS services, which assist aged, blind, and disabled individuals in performing daily living activities to prevent out-of-home care placement. The form includes sections for personal information, authorization to release health care information, and specific health care questions that must be answered by a licensed professional.

Here's how it works

01. Edit your soc 873 online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send soc873 via email, link, or fax. You can also download it, export it or print it out.

How to edit Soc873 online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

With DocHub, making adjustments to your documentation requires only a few simple clicks. Follow these quick steps to edit the PDF Soc873 online for free:

Register and log in to your account. Log in to the editor using your credentials or click Create free account to test the tool’s features.
Add the Soc873 for redacting. Click the New Document button above, then drag and drop the file to the upload area, import it from the cloud, or using a link.
Alter your file. Make any adjustments needed: insert text and images to your Soc873, highlight details that matter, remove sections of content and replace them with new ones, and add symbols, checkmarks, and fields for filling out.
Finish redacting the form. Save the updated document on your device, export it to the cloud, print it right from the editor, or share it with all the parties involved.

Our editor is super easy to use and effective. Try it now!

See more soc873 versions

We've got more versions of the soc873 form. Select the right soc873 version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (62 Votes)
2011	3.8 Satisfied (30 Votes)
2011	4.3 Satisfied (48 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Where do I send my w4 for IHSS Los Angeles County?

IHSS Application 2707 S. Grand Ave. Los Angeles, CA 90007.

What is soc873?

What Is Form SOC 873? Form SOC 873, In-Home Supportive Services (IHSS) Program Health Care Certification Form, is a medical certification form filled out by a licensed health care professional to enable disabled, blind, or elderly individuals to receive services from the In-Home Supportive Services (IHSS) program.

Can my wife be my IHSS provider?

About 22% of IHSS workers are parent or spouse providers, almost exclusively mothers and wives, providing long-term care to spouses or disabled children.

How do I register with IHSS?

How to Become an IHSS Provider Go to an IHSS Provider Orientation given by the county. ... Complete, sign and return the IHSS Program Provider Enrollment Form (SOC 426) directly to the County IHSS Office or IHSS Public Authority. ... Complete and sign the IHSS Provider Enrollment Agreement (SOC 846) .

What is soc426?

A felony offense for fraud against a public social services program, as defined in W&IC sections 10980(c)(2)* and (g)(2)*. A complete listing of Tier 2 crimes is available upon request from the County IHSS Office or IHSS Public Authority. *See attached form SOC 426C for the text of these PC and W&IC sections.

soc 873 form

soc 873 pdf soc 873 english soc 874 ihss forms pdf ihss certification ihss doctor form medical certification form edd ihss phone number

Related forms

be ready to get more

Complete this form in 5 minutes or less

Get form

Where do I send my Soc 426?

WHERE DO I RETURN THE SOC 426? After you have completed and signed the SOC 426, you must return it IN PERSON to the county IHSS office or county Public Authority. You will have to show identification (ID) when you return the SOC 426.

Can a family member do IHSS?

Yes. You can hire relatives, friends, neighbors, and other caregivers to provide you with IHSS.

What is a SOC 839 form?

\u2022 This form allows the IHSS applicant/recipient or his/her legal representative to. choose an Authorized Representative for the IHSS program and identifies the functions the Authorized Representative may perform on his/her behalf.

What is IHSS form?

The In-Home Supportive Services (IHSS) program provides in-home assistance to eligible aged, blind and disabled individuals as an alternative to out-of-home care and enables recipients to remain safely in their own homes.

Who qualifies for IHSS in California?

To be eligible, you must be 65 year of age and over, or disabled, or blind. Disabled children are also potentially eligible for IHSS. IHSS is considered an alternative to out-of-home care, such as nursing homes or board and care facilities.

Get the up-to-date soc873 2025 now

Here's how it works

How to edit Soc873 online

See more soc873 versions

Complete this form in 5 minutes or less

Got questions?

Where do I send my w4 for IHSS Los Angeles County?

What is soc873?

Can my wife be my IHSS provider?

How do I register with IHSS?

What is soc426?

Complete this form in 5 minutes or less

People also ask

Where do I send my Soc 426?

Can a family member do IHSS?

What is a SOC 839 form?

What is IHSS form?

Who qualifies for IHSS in California?

ihss form soc 873

Try more PDF tools