California Correctional Health Care Services

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

21 - 40 of 160 forms

Form Title Topics
CHDP Referral
CMS Net Account Request
CMS Net Change Request
CMS Net County System Administrator Security and Confidentiality Oath Agreement
CMS Net Medical Therapy Program (MTP) Therapist Table
Communication Disorder Center Application
Confidential Communications Request
Confidential Referral/Follow-Up Report
Confidential Screening/Billing Report
Consent Form
DHCS 100185 Form - DMC Claim Submission Certification - Direct Contract Provider
DHCS 100185 Instructions - DMC Claim Submission Certification - Direct Contract Provider
DHCS 100186 Form - DMC Claim Submission Certification - County Contracted Provider
DHCS 100186 Instructions - DMC Claim Submission Certification - County Contracted Provider
DHCS 100187 Form - DMC Claim Submission Certification - County Operated Provider Form
DHCS 100187 Instructions - DMC Claim Submission Certification - County Operated Provider
DHCS 100224 - Drug Medi-Cal Certification for Federal Reimbursement
DHCS 1008 (02/13): Jail Services.pdf
DHCS 1009 (02/13): Conservatorships.pdf
DHCS 1010 (02/13): Involuntary Detentions.pdf

Contact Information & Office Locations

1 contact point

Inmate Dental Services Program

Address:
PO Box 588500
Elk Grove, CA 95758

Phone numbers:
  • (916) 691-3174

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