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. However, you must still follow any additional CDPH 530 processes at the facility.
How do I fill out the CDPH 530 form?
As a clinician in California, you will be able to easily sign and complete the CDPH 530 form when submitting your shift report.
- Complete your shift report as normal
- There will be an additional form asking for assignment details (optional)
- Give your electronic signature (required)
- Click "Sign and Confirm"
- Submit shift report
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