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Get the free Health Check/EPSDT Workshops Seminar Registration Form - ncdhhs

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This form is used for registering providers to attend Health Check/EPSDT workshops, which focus on health services for children and teenagers.
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How to fill out Health Check/EPSDT Workshops Seminar Registration Form

01
Obtain the Health Check/EPSDT Workshops Seminar Registration Form from the designated source.
02
Fill in your personal information including your name, address, phone number, and email address.
03
Indicate your affiliation or organization if applicable.
04
Select the workshop sessions you wish to attend from the options provided.
05
Provide any special dietary requirements or accommodations needed during the workshops.
06
Review the form for completeness and accuracy.
07
Sign and date the form where indicated.
08
Submit the completed form by the specified deadline via email, fax, or postal mail.

Who needs Health Check/EPSDT Workshops Seminar Registration Form?

01
Parents or guardians of children eligible for Health Check/EPSDT services.
02
Healthcare providers seeking to learn about providing EPSDT services.
03
Community organizations focused on children's health.
04
Social workers involved with child welfare services.
05
Anyone interested in understanding the Health Check/EPSDT program.
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The Health Check/EPSDT Workshops Seminar Registration Form is a document used to register participants for workshops and seminars focused on health check and early and periodic screening, diagnostic, and treatment services (EPSDT) for children.
Individuals and organizations that wish to attend or participate in Health Check/EPSDT workshops and seminars are required to file this registration form.
To fill out the Health Check/EPSDT Workshops Seminar Registration Form, participants should provide their personal information, including name, contact details, and any specific needs or requirements they may have, along with selecting the desired workshop or seminar.
The purpose of the Health Check/EPSDT Workshops Seminar Registration Form is to organize participants for health-related workshops and to ensure that the needs of attendees are met during the sessions.
The information that must be reported on the Health Check/EPSDT Workshops Seminar Registration Form typically includes the participant's name, contact information, the workshops they wish to attend, and any other relevant details pertaining to their participation.
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