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Community Health Service Department Referral Form Please use this form to refer a Buckeye Health Plan member for a visit from a Buckeye CHAD. Date: Member Name: MMS ID #: Member Address: Member Phone
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Community health service department is a department in a healthcare facility or organization that focuses on providing health services to the community.
Healthcare facilities or organizations that offer community health services are required to file the community health service department.
The community health service department can be filled out by gathering all the necessary information about the services provided to the community and reporting it accurately in the designated form.
The purpose of the community health service department is to ensure that healthcare facilities are meeting the health needs of the community and providing quality services.
Information such as the types of services provided, number of patients served, community outreach programs, and health education initiatives must be reported on the community health service department.
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