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Page 1 of 6 PUYALLUP TRIBAL HEALTH AUTHORITY MEDICAL STUDENT ROTATION APPLICATION 2209 East 32nd Street, Tacoma, Washington 98404 Tel: (253) 593-0232, Fax: (253) 593-3479
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How to fill out P Tribal Health A:
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Start by gathering all necessary information, such as your personal details, contact information, and any relevant medical history.
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Begin by filling out your personal details, including your full name, date of birth, and social security number if applicable.
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Provide your current contact information, including your address, phone number, and email address.
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In the medical history section, accurately disclose any pre-existing conditions, allergies, or medications you are currently taking.
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If applicable, provide any additional information requested, such as emergency contact details or insurance information.
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Who needs P Tribal Health A:
01
Individuals who are seeking healthcare services from a tribal health organization.
02
Native American or Alaska Native individuals who are eligible for benefits and assistance from the Indian Health Service.
03
Immediate family members of a tribal member who are covered by the tribal health program.
Note: It is important to consult the specific guidelines and requirements of your tribal health organization when filling out P Tribal Health A.
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What is p tribal health a?
P tribal health a is a form used to report health information for tribal members.
Who is required to file p tribal health a?
Tribal members are required to file p tribal health a form.
How to fill out p tribal health a?
P tribal health a can be filled out online or in paper form.
What is the purpose of p tribal health a?
The purpose of p tribal health a is to gather health information for tribal members.
What information must be reported on p tribal health a?
Personal health information, medical history, and current health status must be reported on p tribal health a.
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