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

141 - 160 of 160 forms

Form Title Topics
Payee Data Record
Pre-Enrollment Application
Privacy Complaint
Provider Data Sheet
Provider Electronic Data Interchange (PEDI) Account Request
Provider Electronic Data Interchange (PEDI) Domain Update
Registration of Agency Intending to Provide Hearing Testing Services
Release of Information
Report of Distribution
Report of Health Examination for School Entry
Request for Enteral Nutrition Product(s)
Restrict Uses and Disclosures of PHI by Parent, Guardian or Personal Representative Request
Restrict Uses and Disclosures of PHI Request
Special Care Center Directory Update Fax Cover Sheet
Special Care Center Directory Update Fax Cover Sheet
Telecommunications Provider and Biller Application/Agreement
Waiver of Health Examination for School Entry
What Does Your Child Eat?
What Do You Eat?
Youth Nutrition and Activity Assessment

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