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Amilcare Health Centers Putnam County Schooled Health Services P.O. Box 163 Eleanor WV 25070 (304) 3807728/5860001 ENROLLMENT AND CONSENT FORM Patient Name: SS #: Address: City: State/Zip: Phone:
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What is familycare health centers?
Familycare Health Centers is a community health center organization that provides primary care services to individuals and families.
Who is required to file familycare health centers?
Familycare Health Centers is typically filled out by healthcare providers or organizations that provide primary care services.
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Familycare Health Centers can be filled out by providing information about the healthcare provider or organization, the services offered, and the number of patients served.
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The purpose of Familycare Health Centers is to track and report on the primary care services provided by healthcare providers or organizations.
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Information such as the number of patients served, types of services provided, and outcomes of care may be reported on Familycare Health Centers.
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