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SUPERSEDEDHEALTH AND HUMAN SERVICES AGENCY PUBLIC HEALTH SERVICESORDER OF THE HEALTH OFFICER AND EMERGENCY REGULATIONS (Effective February 6, 2021) Pursuant to California Health and Safety Code sections
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The form state is used to order materials from the California Department of Public Health.
Healthcare providers and organizations who need to order materials from the California Department of Public Health.
Fill out the required fields with accurate information and submit the form online or via mail as per the instructions provided.
The purpose is to ensure healthcare providers and organizations can easily request and receive necessary materials from the California Department of Public Health.
Information such as name of requester, contact information, quantity of materials needed, and delivery address must be reported on the form.
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