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SOUTHERN PLAINS TRIBAL HEALTH BOARD Serving Tribes and Indian Organizations throughout Kansas, Oklahoma, and Texas since 1972 17 RESOLUTION NO. 2016 PURPOSE: A RESOLUTION IN SUPPORT OF THE non-Indian
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To fill out the South Plains Tribal Health form, follow these steps:
02
Obtain the form from the South Plains Tribal Health website or their office.
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Read the instructions provided with the form carefully.
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Enter your personal information, like your name, address, date of birth, and contact details, in the required fields.
05
Provide your tribal affiliation and membership information, if applicable.
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Fill in the necessary medical information, including any pre-existing conditions or allergies.
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Answer any additional questions or sections specific to the form.
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Review the completed form for accuracy and ensure all required fields are filled.
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Sign and date the form.
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Submit the form as instructed, either online, by mail, or in person.

Who needs souformrn plains tribal health?

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South Plains Tribal Health is designed to cater to the healthcare needs of individuals who meet the following criteria:
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- Individuals residing in the South Plains Tribal Health service area.
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- Members of federally recognized tribes who are eligible for Indian Health Services (IHS).
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- Individuals with unique healthcare needs and circumstances specific to the region, such as access to specialized tribal health services or culturally appropriate healthcare.
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Southern Plains Tribal Health is a healthcare organization that serves Native American tribes in the southern plains region.
Providers who are contracted with Southern Plains Tribal Health are required to file the necessary forms.
Providers can fill out Southern Plains Tribal Health forms electronically or manually, following the instructions provided by the organization.
The purpose of Southern Plains Tribal Health is to ensure access to quality healthcare services for Native American tribes in the region.
Providers must report patient demographics, medical services provided, and any prescribed medications.
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