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SECTION OF DRINKING WATER PROTECTION PCs ID# See Instructions on Reverse Side to Complete Form Month of Fluoridation Monthly Report (Multi Well) Name of Facility City Signature Fluoride Chemical Used
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The Minnesota Department of Health is a state agency in Minnesota, responsible for protecting, maintaining and improving the health of the residents of Minnesota.
Certain healthcare providers and facilities in Minnesota are required to file reports with the Minnesota Department of Health. The specific requirements depend on the type of provider or facility.
To fill out the Minnesota Department of Health forms, you generally need to provide the required information regarding the specific topic or report being filed. The forms can be accessed through the official website of the Minnesota Department of Health.
The purpose of the Minnesota Department of Health is to protect, maintain and improve the health of the residents of Minnesota. This is achieved through various programs, initiatives, regulations, and policies aimed at promoting public health.
The specific information required to be reported on the Minnesota Department of Health forms depends on the type of report or program. Generally, it may include demographic information, health statistics, disease surveillance data, healthcare facility information, and other relevant data.
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Related Links

Healthy Smiles for Every Child: Enhancing Children's Oral Health
The topic of this issue of Healthy Generations is oral health, with a special focus on children, youth, and pregnant women. Oral health often exists in a ...
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Jan 1, 2017 — (k) Educate and communicate to the Enrollee about good health ... shall provide to the MCO on a monthly basis a report identifying an individual.
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Jul 1, 2024 — Fluoride Monthly Report: Fewer Than 3300 (PDF) · Fluoride Monthly Report: Multi Well (PDF) · Fluoride Monthly Report: Phosphate (PDF) · Fluoride ...

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