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New Hampshire Department of Health and Human Services
PRIMARY CARE SERVICES For Specific Counties
RFP2018DPHS28PRIMAADDENDUM #2
On February 12, 2018, the New Hampshire Department of Health and Human
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How to fill out primary care services for

How to fill out primary care services for
01
To fill out primary care services form, follow these steps:
02
Gather all necessary information such as personal details, medical history, and insurance information.
03
Contact your primary care provider's office or visit their website to access the form.
04
Read the form instructions carefully and make sure you understand all the requirements.
05
Fill in your personal details accurately, including your name, date of birth, address, and contact information.
06
Provide your medical history, including any past diagnoses, medications, surgeries, and allergies.
07
Specify your insurance details, including the name of the insurance provider and the policy number.
08
Review the completed form for any errors or missing information.
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Sign and date the form as required.
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Submit the filled-out form to your primary care provider either by mail, in person, or through an online portal.
11
Follow up with your provider to ensure they received the form and have any further instructions if needed.
Who needs primary care services for?
01
Primary care services are needed by individuals of all ages and backgrounds.
02
Anyone seeking routine medical care, preventive services, or treatment for common illnesses or chronic conditions can benefit from primary care.
03
This includes infants, children, adolescents, adults, and seniors.
04
Primary care services are especially important for individuals without a specific medical condition who need general healthcare and regular check-ups.
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Even those with existing medical conditions or individuals who require specialized care may still require primary care to oversee their overall health and coordinate referrals to specialists.
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In summary, primary care services are essential for anyone seeking comprehensive and continuous healthcare.
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