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VERIFICATION OF SERVICES (LOS) County: Brooke Toga Tompkins PROGRAM TYPE: EI (02) DHCP (35) Provider×Agencies Name: License No. Child's Name: DOB: Address where services are provided: (circle one)
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What is public health children with?
Public health children with is concerned with promoting and protecting the health of children.
Who is required to file public health children with?
Healthcare providers, parents, or caregivers of children are required to file public health children with.
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Public health children with can be filled out online or submitted in person at a healthcare facility.
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The purpose of public health children with is to track and monitor the health of children in a community.
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Information such as child's name, age, medical history, vaccinations, and any health conditions must be reported on public health children with.
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