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ACTION PLAN FOR ANAPHYLAXIS Patients Name Date of Birth Health Care Provider Providers Phone Number Responsible Person (i.e., parent/guardian) Phone Number Emergency Contacts Expiration Date for Medication
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Provider forms on www.hscsn-net.org are documents that healthcare providers need to fill out to participate in the Health Services for Children with Special Needs (HSCSN) network.
Healthcare providers who wish to be part of the HSCSN network are required to file provider forms on www.hscsn-net.org.
Healthcare providers can fill out provider forms on www.hscsn-net.org by logging in to the portal and following the instructions provided.
The purpose of provider forms on www.hscsn-net.org is to collect important information about healthcare providers who wish to be part of the HSCSN network.
Provider forms on www.hscsn-net.org may require healthcare providers to report their contact information, credentials, specialties, and other relevant details.
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