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NH Department of Health & Human Services (HHS) Division of Family Assistance (DFA) DFA Form 11 08/12 rev. 9/15 Authorization to Release Information Printed Name of Person to Whom the Release of Information
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The NH Department of Health is a government agency responsible for promoting and protecting public health in the state of New Hampshire.
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Healthcare facilities, healthcare providers, and certain other entities are required to file with the NH Department of Health.
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The NH Department of Health provides forms and guidelines for entities to fill out and submit their required information.
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The purpose of the NH Department of Health is to track and monitor public health data, enforce regulations, and promote healthy living.
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Information such as patient demographics, disease outbreaks, and healthcare provider information must be reported on the NH Department of Health.
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