Skip to Content

How do I apply?

Referrals for IHSS

  • Call our office at (831) 454-4101 or (831) 763-8000, option 2.
  • Fax application (SOC 295) to (831) 763-8906
  • Mail application (SOC 295) to:
    IHSS Intake
    P.O. Box 1320
    Santa Cruz, CA 95061
  • Walk-in to one of our locations:
    18 W. Beach Street, Watsonville, CA 95076, or
    1400 Emeline Avenue, 3rd Floor, Santa Cruz, CA 95060

Please note that once a referral is made the information becomes confidential and IHSS will not be able to provide updates on the status of referrals made on behalf of someone other than you.

Application Process Overview

  1. Complete the SOC 295 Application for Social Services Form (PDF, 200 KB) (EXIT)
  2. Medi-Cal eligibility is confirmed by IHSS. A Medi-Cal application is provided as needed.
  3. A Licensed Health Care Professional completes and submits the IHSS Health Care Certification Form (SOC873).
  4. An IHSS Social Worker conducts a home visit
  5. IHSS Social Worker reviews information obtained during a home visit, from medical professionals, and other agencies involved in your care (if necessary) to assess services needed and the hours necessary to maintain your independence.
  6. IHSS Social Worker sends you a notice of approval or denial:
    1. If you are found eligible, the notice lists the tasks approved and monthly hours authorized.
    2. If you are denied, the notice will indicate the reason(s).