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Seaman Community Health Center Intensive Outpatient Program 5007 Claremont Way, Everett, WA, 98203 Tells: (425)6095505 Fax: (425)6095506Intensive Outpatient Program Referral FormReferring Clinician:
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How to fill out seamar community health center

01
To fill out the Seamar Community Health Center application, follow these steps:
02
Visit the Seamar Community Health Center website or the nearest Seamar location.
03
Obtain the application form either by downloading it from the website or requesting it from the front desk.
04
Fill in the required personal information, including your name, address, date of birth, and contact details.
05
Provide information about your medical history, including previous health conditions, allergies, and medications.
06
Indicate your income and insurance details, if applicable.
07
Review the completed application form for any errors or missing information.
08
Sign and date the application form.
09
Submit the application form either online, by mail, or in person at the Seamar Community Health Center.
10
If submitting the form in person, inquire about any additional documents or identification required.
11
Wait for a response from the Seamar Community Health Center regarding your application.

Who needs seamar community health center?

01
Seamar Community Health Center is beneficial for the following individuals:
02
- Uninsured or underinsured individuals seeking affordable healthcare services.
03
- Low-income individuals and families in need of primary medical care.
04
- Individuals experiencing chronic health conditions who require ongoing management and treatment.
05
- Immigrants and refugees who may face barriers to accessing healthcare in traditional settings.
06
- Pregnant women in need of prenatal care and support.
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- Children and adolescents in need of pediatric health services.
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- Individuals seeking behavioral health and addiction treatment services.
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- Seniors in need of geriatric care and health screenings.
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- Individuals with limited English proficiency who require interpretation services.
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- Individuals seeking dental care services.
12
Seamar Community Health Center aims to provide comprehensive and accessible healthcare to a diverse range of people, regardless of their financial situation or background.

What is SeaMar Community Health Center Form?

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SeaMar Community Health Center template instructions

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Seamar Community Health Center is a non-profit organization that provides affordable healthcare services to the community.
Seamar Community Health Center is required to file by healthcare providers and organizations that receive federal funding or grants.
To fill out Seamar Community Health Center, you need to gather and report information on patient demographics, services provided, and financial data.
The purpose of Seamar Community Health Center is to ensure that healthcare services are accessible and affordable to all members of the community.
Information that must be reported on Seamar Community Health Center includes patient counts, services rendered, and financial performance.
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