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Policy 406, Attachment 6 ARIZONA DEPARTMENT OF HEALTH SERVICES DIVISION OF BEHAVIORAL HEALTH SERVICES Community Service Agency SELF DECLARATION OF CRIMINAL HISTORY Name of Direct Service Person: Title
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Gather all the necessary information and documents required for the application. This includes personal details, identification documents, and any relevant medical information.
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The Arizona Department of Health is a government agency responsible for protecting the health and wellness of Arizona residents.
Healthcare facilities, healthcare providers, and certain individuals are required to file with the Arizona Department of Health.
The Arizona Department of Health provides forms and guidelines on their website for how to fill out and submit the necessary information.
The purpose of the Arizona Department of Health is to track and monitor public health issues, enforce health regulations, and provide resources for improving public health.
Information such as healthcare provider licenses, patient information, and public health data must be reported on the Arizona Department of Health.
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