Marin County In-Home Supportive Services Program (IHSS)
Information on Service Adjustments During the COVID-19 Emergency
HHS is the County's largest department with more than 700 employees who work at many sites throughout Marin. Many HHS offices have reopened with limited staffing to the public. Staff will continue to provide services remotely when possible for safety reasons, and residents in need of HHS services should consider conducting conversations over the phone or email when possible. Please call ahead if you have an appointment or require in-person assistance.
1. Please call the Senior Information & Assistance Line at (415) 473-4636 to apply over the phone.
To apply online with forms included:
In-Home Supportive Services (IHSS) Program Notice to Applicant of Health Care Certification Requirement Form (SOC 874):
In-Home Supportive Services (IHSS) Program Health Care Certification Form (SOC 873) : https://www.cdss.ca.gov/cdssweb/entres/forms/English/SOC873.pdf
Kaiser Permanente Authorization for Use or Disclosure Form (English):
In-Home Supportive Services (IHSS) Program Notice to Applicant of Health Care Certification Requirement Form (SOC 874): https://www.cdss.ca.gov/cdssweb/entres/forms/spanish/soc874sp.pdf
In-Home Supportive Services (IHSS) Program Health Care Certification Form (SOC 873) https://cdss.ca.gov/cdssweb/entres/forms/Spanish/SOC873SP.pdf
Kaiser Permanente Authorization for Use or Disclosure Form:
2. Once a completed application is processed, the applicant will receive paperwork to return and complete. Included in the paperwork will be a Kaiser Permanente Authorization for Use and Disclosure Form (if the applicant is a Kaiser patient) and the required Health Care Certification Form (SOC 873) that will need to be returned completed by a licensed health care professional.
3. All completed forms must be returned in one of the following ways:
Marin Health & Human Services
Division of Aging & Adult Services
10 N San Pedro Rd. Ste 1023
San Rafael, CA 94903-4155
b. Email: 473-INFO@marincounty.org
c. Fax: 415-473-6165
Must be Medi-Cal eligible
- Interpeters available for other languages