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SAN FRANCISCO CITY AND COUNTY RETIREE HEALTH CARE TRUST FUND
NOMINATION FORM
We, the undersigned members of the San Francisco City and County Health Service System, hereby
nominate:
NAME
DEPARTMENT/RETIREE
for
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How to fill out san francisco health service
How to fill out san francisco health service
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02
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03
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04
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05
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06
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San Francisco health service is a program that provides healthcare services to residents of San Francisco.
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All healthcare providers operating in San Francisco are required to file for the health service program.
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Providers must report on the services offered, number of patients served, and any financial assistance provided.
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