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IHS866 (5/99)PRENATAL HEALTH ASSESSMENTPlease answer these questions honestly, so we can help you receive the best possible care for you and your baby. Ask the nurse for help if you have difficulty
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The IHS-866 form is used to collect data on prenatal health services provided by Indian Health Service facilities.
All Indian Health Service facilities that provide prenatal health services are required to file the IHS-866 form.
The IHS-866 form should be completed with accurate and detailed information regarding the prenatal health services provided by the facility.
The purpose of the IHS-866 form is to track and monitor prenatal health services provided by Indian Health Service facilities.
The IHS-866 form requires information on the number of prenatal health visits, services provided, and outcomes for mothers and infants.
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