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Attachment A: Form for Submitting Comments regarding Draft Health Home Application to Serve Individuals with
Intellectual and/or Developmental Disabilities
Name of Provider/Stakeholder:
Provider/Stakeholder
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What is attachment a form for?
Attachment A form is used to provide additional information or supporting documents for a main form.
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Individuals or entities who are requested to do so by a governing body or organization.
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The form must be completed by providing the requested information accurately and attaching any required documents.
What is the purpose of attachment a form for?
The purpose of attachment a form is to supplement the information provided in the main form, ensuring completeness and accuracy.
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