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ERIE FAMILY HEALTH CENTERPSYCHOSOCIAL Assessment be completed by 3rd Full Hour Session O N F I D E N T I A Referral Source:Clients Address:Phone: Language/Place of Origin:Name of Guardian (s) or Other
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Erie Family Health Center is a non-profit community health center providing comprehensive medical care to underserved populations.
All individuals and households who receive healthcare services from Erie Family Health Center are required to file.
To fill out Erie Family Health Center, individuals must provide information about their household, income, and healthcare needs.
The purpose of Erie Family Health Center is to ensure access to quality healthcare services for all members of the community.
Information such as household size, income, and healthcare services received must be reported on Erie Family Health Center.
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