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HealthyStartAddendumtoInfantRiskIdentifierInfantComponent HID:Date:Locationofvisit: MIHPClient? HomeZipcode:OfficeYesMedicaid×CurrentAddress:Infant
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How to fill out hs infant addendum to

01
To fill out the HS Infant Addendum, follow these steps:
02
Gather all necessary information about the infant, such as their full name, date of birth, and contact information.
03
Determine the reason for filling out the addendum, whether it is to add the infant to an existing household or to establish a new household.
04
Complete the sections of the addendum that require information about the infant's parents or legal guardians, including their names, addresses, and contact information.
05
Provide details about any other individuals who reside in the household and their relationship to the infant.
06
Indicate the type of housing assistance program for which the addendum is being filled out.
07
Sign and date the completed addendum.
08
Submit the addendum to the appropriate housing agency or authority as instructed.
09
Keep a copy of the addendum for your records.
10
Note: It is advisable to review the specific instructions provided by the housing agency or authority before filling out the HS Infant Addendum.

Who needs hs infant addendum to?

01
The HS Infant Addendum is required by individuals or families who are applying for or receiving housing assistance from a housing agency or authority. It is specifically applicable to situations where an infant needs to be included in the household for the purpose of determining eligibility or assistance amount. This addendum helps to establish the necessary documentation and information related to the infant's presence in the household.
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The hs infant addendum is related to additional information added to a healthcare survey.
Healthcare providers and facilities are required to file the hs infant addendum.
The hs infant addendum can be filled out electronically or in paper form, following the instructions provided by the healthcare survey agency.
The purpose of the hs infant addendum is to collect specific data related to infant healthcare services.
Information such as infant care procedures, equipment used, staff qualifications, and any incidents related to infant care must be reported on the hs infant addendum.
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