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State of CaliforniaHealth and Human Services AgencyDepartment of Health Care Services Child Health and Disability Prevention (CHIP) ProgramWAIVER OF HEALTH EXAMINATION FOR SCHOOL ENTRY CHILD NAMELastFirstADDRESSNumber,
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The US Department of Health Care Services (USDHCS) - California CDPH is a form used for reporting healthcare data to the California Department of Public Health.
Hospitals, healthcare facilities, and healthcare providers are required to file about USDHCS - California CDPH.
The form can be filled out electronically or in paper form, following the instructions provided by the California Department of Public Health.
The purpose of the form is to collect important healthcare data to monitor, evaluate, and improve healthcare services in California.
Information such as patient demographics, medical procedures, diagnoses, and outcomes must be reported on the form.
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