In California, all healthcare facilities providing direct care services are required to have a signed California Department of Public Health (CDPH) Form 530 on file for each non-employee individual who is paid for direct care services (i.e. independent contractors).
To help facilities fulfill this requirement, starting June 13, 2024 all clinicians will be required to e-sign a digital copy of the CDPH 530 form in order to be paid for the shift. Facilities will have access to e-sign their portion of the form and download completed copies for their records.
This feature is active for all shifts completed in California. Use Nursa's new digital CDPH 530 form as a replacement to your current process or in addition to your existing workflow as a backup.
How do I fill out CDPH 530 forms?
As a facility user for shifts in California, you will be able to easily sign and complete the CDPH 530 form when submitting your facility shift report.
- Complete your shift report as normal
- The form will pop up and you will give your electronic signature
- Click "Sign and Confirm"
- Submit shift report
Note: If a facility user does not complete their shift report and it is auto-verified, the form will need to be signed before downloading.
How do I download CDPH 530 forms?
- Click the menu in the top left corner
- Scroll to "Data" tab
- Select "CDPH 530"
- If connected to multiple facilities, Select a Facility
- Filter by the shift date range you are interested in
- Select the forms you wish to download
-
Select "Sign Selected" if signatures are still needed
- Note: You can only download forms that are signed
- Select "Download Selected" to download forms
Note: This form is only available for facilities located in California.
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