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CLIENT APPLICATION FORM *The ChathamKent Community Health Centers (CK CHC) accepts new clients based on our target population criteria. Please answer all questions to the best of your knowledge. This
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Form Chatham-Kent Community Health is a document used to collect health-related data and information pertinent to community health initiatives in the Chatham-Kent area.
Individuals and organizations involved in health services, or those who provide health-related programs and initiatives in the Chatham-Kent community are required to file this form.
To fill out the form, gather necessary health and community information, complete each section accurately, and submit it to the designated Chatham-Kent health department or agency.
The purpose of the form is to gather essential data that helps in assessing and improving community health services and programs within the Chatham-Kent region.
The form typically requires reporting on demographics, health services provided, community health outcomes, and any relevant statistics pertaining to local health initiatives.
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