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1. Last NameFirst Name. C. Department of Health and Human Services Division of Public Health Women's and Children's Health SectionMI2. Patient Number 3. Date of Birth (MM/DD/YYY)MonthDayMATERNAL FLOW
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Download the NC Department of Health form from their official website.
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Read the instructions provided at the top of the form.
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The North Carolina Department of Health is a state government agency responsible for protecting and promoting the health and well-being of all North Carolinians.
Healthcare facilities, healthcare providers, and certain other entities are required to file reports with the NC Department of Health.
You can fill out the NC Department of Health forms online through their official website or by submitting paper forms by mail.
The purpose of the NC Department of Health is to monitor public health, prevent diseases, and ensure the safety of healthcare services in North Carolina.
Information such as patient data, healthcare provider information, and health trends must be reported on the NC Department of Health.
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