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WV BIRTH TO THREE Office of Maternal, Child and Family Health Bureau for Public Health Department of Health and Human Resources Child's Name: Child's Date of Birth: SERVICE COORDINATION ACTIVITY NOTE
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Who needs service coordination activity revised0308rtf?

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Individuals or organizations responsible for coordination of services.
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Case managers, social workers, or similar professionals involved in service coordination.
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Government agencies or programs that require documentation of service coordination activities.
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Service providers who need to accurately record and communicate service coordination efforts.
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Clients or recipients of services who want to understand and participate in the coordination process.
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Service coordination activity revised0308rtf is a form used to document and track coordination of services for individuals.
Service providers and agencies responsible for coordinating services are required to file service coordination activity revised0308rtf.
Service coordination activity revised0308rtf must be completed by providing detailed information about the services being coordinated, the individuals receiving the services, and any outcomes or changes as a result of the coordination.
The purpose of service coordination activity revised0308rtf is to ensure that services are being coordinated effectively and efficiently to meet the needs of individuals.
Information such as the type of services being coordinated, the individuals receiving the services, any changes or outcomes, and the date and time of coordination must be reported on service coordination activity revised0308rtf.
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