This page will be updated as more information becomes available.
All Plan Letters (APLs)
Visit Department of Health Care Services (DHCS) to review the APLs listed below.
- APL 20-006
- APL 15-023
- APL 14-005
- APL 14-004
- APL 13-003
Audit Resources
Pre-Audit Resources
Access and Safety
- Site Accessibility by Individuals with Physical Disabilities
- Office Cleaning Schedule
- Clean & Sanitary Environment
- Cleaning Log
- Access Safety - Non-Emergency
- Workplace Violence Protocol
- Office Emergency Equipment Supplies Maintenance Log
- Emergency Medical Management Dosage Chart
- Emergency Medications Dosage Chart Sample B
- Emergency Protocol
- Emergency Supplies Inventory Checklist
- Medication Inventory Checklist
- Emergency Health Services Equipment
- Emergency Earthquake Plan
- Emergency Fire Plan
- Sample Site Evacuation Plan
- Medical Lab Equipment Maintenance
Personnel
- Intimate Partner/Domestic Violence Reporting
- Intimate Partner Violence and Sexual Violence Victimization Assessment Instruments for Use in Healthcare Settings
- Hurt, Insulted, Threatened with Harm and Screamed (HITS) Domestic Violence Screening Tool
- Personnel Training: Informed Consent and Human Sterilization Consent
- Personnel Training: Minors’ Rights
- Personnel Training: Prior Authorizations/Referrals
- Referral, Consults, Diagnostic Testing Ticker Log
- Staff Qualifications
- Notice to Consumers (Physicians)
- Notice to Consumers (Physicians) - Spanish
- Notice to Consumers (Physicians) - Chinese
- Notice to Consumers - Physicians Assistance
- Sample Delegation of Services Agreements – Change in Regulations
- Board Delegation of Services FAQ's
- Sample Explanation of Standardized Procedure Requirements for Nurse Practitioner Practice
- Unlicensed Personnel
- Medical Assistant Training Letter
- Medical Assistant Certificate
- Venipuncture, Injection, and Skin Test Certification
- Personnel Training: Child Abuse Reporting
- Child Abuse Reporting Form
- Personnel Training: Elder Abuse Reporting
- Elder Abuse Reporting Form
Office Management
Clinical Services
Preventive Services
Infection Control
Posted on January 20th, 2022 and last modified on October 3rd, 2025.
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