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, the Nursa app will automatically create and help clinicians e-sign a CDPH 530 form each time they submit a shift report for a shift worked at a facility located in California. Facility users can subsequently e-sign and download these forms to remain in compliance with state health department regulations.
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