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PREVENTION SERVICES TRACKING FORM LEVEL 1 NONPARTICIPANT SPECIFIC CDS Family & Behavioral Health Services, Inc. CDS STAFF #/ NAME:/TIME: from::Funding Source:SAME Substance Abuse Block Granulate OF
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Prevention services tracking form is a document used to track and record information related to prevention services provided to individuals or groups.
Providers of prevention services are required to file the prevention services tracking form.
To fill out the prevention services tracking form, providers must input relevant information such as date of service, type of service provided, and outcomes.
The purpose of prevention services tracking form is to monitor and evaluate the effectiveness of prevention services being provided.
Information such as date of service, type of service provided, number of individuals served, and outcomes must be reported on prevention services tracking form.
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