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This document is used by new patients to provide their personal information and be referred to dental services.
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How to fill out Care Enough to Share

01
Gather necessary information: Ensure you have all the required details about your issue and relevant data.
02
Complete personal information: Fill in your name, contact details, and any other personal information required.
03
Describe your concern: Clearly outline the issue or concern you are reporting.
04
Provide supporting evidence: Attach any documents or evidence that support your claim.
05
Review your information: Double-check all filled fields for accuracy and completeness.
06
Submit the form: Follow the submission instructions to send your completed form.

Who needs Care Enough to Share?

01
Individuals seeking to report concerns about safety or well-being.
02
Community members wanting to contribute to local safety efforts.
03
Organizations that need a structured method to gather feedback.
04
Those who want to ensure their voices are heard regarding community issues.
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Care Enough to Share is a program designed to promote the sharing of information regarding important health and safety issues, encouraging a culture of accountability and transparency.
Individuals or organizations that have knowledge of incidents or situations that could affect health and safety are typically required to file a Care Enough to Share report.
To fill out Care Enough to Share, you must provide detailed information about the incident, including your contact details, the nature of the issue, and any involved parties. Follow the specific guidelines provided for completing the report accurately.
The purpose of Care Enough to Share is to ensure that critical health and safety information is communicated effectively to protect individuals and the community at large.
The report must include the date and time of the incident, a description of the event, the names of individuals involved, and any previous actions taken to address the situation.
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