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PROVIDER ID: Alaska Medical Assistance Program Alaska Department of Health and Social ServicesCOMMUNITY HEALTH AIDE / PRACTITIONER (CIA/P) and DENTAL HEALTH AIDE THERAPIST (THAT) PROVIDER REVALIDATION
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To fill out a community health aide practitioner form, follow these steps:
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Obtain the necessary form from the relevant healthcare authority or organization.
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Read and understand the instructions provided with the form.
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Gather all the required information and documents, such as personal identification, educational qualifications, and relevant certifications.
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Fill in the personal details section, including your name, address, contact information, and social security number.
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Provide details about your educational background, including degrees, diplomas, and any additional certifications or training programs completed.
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Specify any professional experience you have in the healthcare field, including previous employment or internships.
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Describe your skills and competencies that make you suitable for the role of a community health aide practitioner.
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Attach copies of any supporting documents, such as transcripts, certifications, and letters of recommendation.
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Review the completed form to ensure all the information provided is accurate and complete.
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Submit the filled-out form along with the required documents to the designated healthcare authority or organization.
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Who needs community health aide practitioner?

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Community health aide practitioners are needed by various entities and individuals, including:
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- Occupational health programs in industries or businesses
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These practitioners serve as crucial healthcare providers in areas where access to doctors and hospitals may be limited. They help bridge the healthcare gap and ensure that communities receive essential primary care services and health education.
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Community Health Aide Practitioner (CHAP) is a healthcare provider who delivers primary health care services in rural and remote communities.
Community health organizations or facilities that employ CHAPs are required to file the necessary documentation for their practitioners.
To fill out the CHAP forms, organizations need to provide information about the practitioner's credentials, scope of practice, and services provided.
The purpose of CHAP is to address the healthcare needs of underserved populations in remote areas where access to healthcare services is limited.
Information such as CHAP's qualifications, training, certifications, and services provided must be reported.
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