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DENVER INDIAN HEALTH AND FAMILY SERVICES, INC. 2880 W. HOLDEN PLACE, DENVER, CO 80204 PHONE: (303) 9536600 FAX: (303) 781433 WWW.DIFFS.OUTPATIENT INFORMATION First Name:Last Name DOB:SSN:Gender: MaleMiddle
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The form is specifically intended for dihfs staff only.
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If you are unsure whether you are part of the dihfs staff, it is recommended to consult your supervisor or the relevant department for clarification.
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It refers to a specific form or documentation that is intended exclusively for staff members of the Department of Health and Family Services.
All personnel associated with the Department of Health and Family Services must file this documentation.
Dihfs staff should complete the form by providing required personal and employment information, ensuring all fields are accurately filled out.
The purpose is to gather important information regarding staff compliance and organizational requirements specific to the Department of Health and Family Services.
Information such as staff member's name, position, employment dates, and other relevant employment details must be reported.
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