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For CCS Use Only:ATTACHMENT C 30DAY FOLLOWUP NOTIFICATION REPORT FORM CONTRA COSTA HEALTH SERVICESINSTRUCTIONS: A hard copy and an electronic copy of this report is to be submitted for all Level 2
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Contra Costa Health Services (CCHS) is a county department that provides health services and programs to residents of Contra Costa County.
Healthcare providers, facilities, and other organizations operating in Contra Costa County may be required to file with Contra Costa Health Services.
To fill out the Contra Costa Health Services forms, one must provide the required information about their healthcare services or programs.
The purpose of Contra Costa Health Services is to improve the health and well-being of residents in Contra Costa County through various health programs and services.
Information such as healthcare services provided, patient demographics, and outcomes may need to be reported on Contra Costa Health Services forms.
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