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Referral for CCS medical therapy program (MTP) services/ / child's name dob date of exam: / / age at exam: address: parent name(s): telephone:1) Clinical Description:2) Medical History and other pertinent
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The Alaska Department of Health and Social Services (DHSS) is a state agency responsible for promoting and protecting the health and well-being of Alaskans.
Healthcare facilities, providers, and other entities are required to file reports with DHSS.
Reports can be filled out online through the DHSS website or submitted through other designated methods.
The purpose of DHSS is to monitor public health trends, enforce regulations, and improve access to healthcare services in Alaska.
Information on disease outbreaks, healthcare statistics, and other relevant data must be reported to DHSS.
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