California Correctional Health Care Services

State of California

Official Website: https://cchcs.ca.gov

California Correctional Health Care Services (CCHCS) provides care that includes medical, dental, and mental health services, to California’s prison inmate population at all 35 California Department of Corrections and Rehabilitation (CDCR) institutions statewide.

The mission is to facilitate the successful reintegration of the individuals in our care back to their communities equipped with the tools to be drug-free, healthy, and employable members of society by providing education, treatment, rehabilitative, and restorative justice programs, all in a safe and humane environment.

Forms & Documents

Browse all California Correctional Health Care Services government forms

1 - 20 of 160 forms

Form Title Topics
Access to PHI by Parent, Guardian or Personal Representative
Access to PHI-Individual Request
Accounting of Disclosures by Parent, Guardian or Personal Representative
Accounting of Disclosures Request
Administrator Compensation for California Long Term Care Facilities
Adult Day Services Retroactive Payments - Supplemental Schedule A General Information and Certification Form
Adult Day Services Retroactive Payments - Supplemental Schedule B Cost Reporting Form
Amend PHI by Parent, Guardian or Personal Representative
Amend PHI Request
Annual Hemophilia Comprehensive Center Evaluation
Annual Report of Hearing Testing
Application for Registration as a School Audiometrist
Application to Determine CCS Program Eligibility
Appointment of Representative
Authorization for Release of PH
Business Objects Account Request
California Children's Services Medical Report
CCS Consent for Medical/Therapy Program Services
CCS/GHPP Discharge Planning Service Authorization Request (SAR)
CCS Medical Therapy Program Therapy Assessment Plan

Contact Information & Office Locations

1 contact point

Inmate Dental Services Program

Address:
PO Box 588500
Elk Grove, CA 95758

Phone numbers:
  • (916) 691-3174

Have Questions About This Agency?
Ask An Expert For Help:

Questions and comments are moderated. Minimum of 10 characters.

All questions and comments are moderated and publicly viewable. Please do not post private or sensitive information such as names, addresses, phone numbers, emails, confidential financial and legal details.

Login or sign up to submit questions