Enrolling with Bloch Care CA

Choosing the right day program for your loved one is a big step, and we want to make the enrollment process as smooth as possible. Below is everything you need to get started.

1. Contact Your Case Manager or FMS

Before Bloch Care CA can begin providing services, please let your Regional Center Service Coordinator or Financial Management Service (FMS) provider know that you’re interested.

2. Complete Our Onboarding Forms

Once your service coordinator or FMS is aware of your interest, you need to fill out our onboarding documentation. These documents help us build a comprehensive understanding of your loved one’s needs and preferences, ensuring we can deliver person‑centered support from day one. These documents are also required by the DDS to be enrolled in our Adult Day Program alongside with a tb test and copy of identification. Please download the forms and fill out and sign properly. Then upload documents down below.

Enrollment Instructions

  • Download all 6 forms below.
  • Fill them out on your computer.
  • Return to this page and complete the online form.
  • Upload your filled documents in the online form before submitting.

Download all required forms

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