Outpatient Provider Information

Sign In

Skip to: Content | Footer | Accessibility

Welcome to the California Department of Health Care Services

NHSP Certified Outpatient Provider Information

The Newborn Hearing Screening Program (NHSP) website has been reconfigured and contains information on legislation for the program, regional Hearing Coordination Centers (HCC), Provider Information, including Standards, OP forms, Parent Resources, the Provider Directory, NHSP Bulletins, What's New?, and other important program information. You are strongly encouraged to review this information posted on the website periodically for important program updates and for information of general interest to your newborn hearing screening program.

Back To Top

Brochures
California Children's Services County Directory
HCC Directory (PDF)
HCC Map (PDF)
NHSP Bulletins
NHSP Flow Chart (PDF)
NHSP Main Webpage
NHSP Program Letters
NHSP Provider Manual (PDF, 3.07 MB)
OP Forms
OP Program Legislation and Policy Changes (PDF)
OP Standards (PDF)
OP Provider Directory (PDF)
Parent Resources
Training Opportunities
What's New?

FORMS

Application to Determine CCS Program Eligibility English | Spanish DHCS 4480 (PDF)
Outpatient Infant Hearing Screening Provider Application (PDF) DHCS 4481 (PDF)
Outpatient Screening Reporting Forms NHSP 200-1
Note: Forms are Region Specific. To determine region, please refer to the HCC Regional Map.
Region A (PDF)
Region B (PDF)
Region C (PDF)
Region D (PDF)
Request for Service Form
Request for Service NHSP 400-1 (PDF)

Back to Top | Help | Contact Us | Site Map | Comments | Download Free Readers

| Conditions of Use | Privacy Policy
Copyright © 2007 State of California