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Amount Paid $ Receipt # Date: Food Service Plan Review Application Coos Health & Wellness 281 La Clair St Coos Bay OR 97420 5412666720New Remodel Email: Name of Establishment: Facility Address: Facility

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Coos Health & Wellness is a program aimed at promoting health and well-being in the Coos community.

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All residents of Coos County are required to file for Coos Health & Wellness program participation.

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You can fill out the Coos Health & Wellness application online or by visiting the Coos County Health Department.

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The purpose of Coos Health & Wellness is to improve the overall health and well-being of residents in Coos County.

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You must report your personal health information, lifestyle habits, and any pre-existing medical conditions on the Coos Health & Wellness form.

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