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Division of Public Health Agreement Addendum FY 2021Page 1 of 25Master Local Health Department Legal NameWomens and Children's Health / Women's Health DPH Section/Branch Name151 Family Planning Activity
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The DPH WICWS Agreement Addenda is needed by individuals or entities who are participating in the WICWS program administered by DPH (Department of Public Health). This may include healthcare providers, clinics, hospitals, and other organizations involved in the WICWS program. The addenda serve as a supplementary agreement to the main WICWS agreement, outlining specific terms, conditions, or updates related to participation in the program.
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The DPH WICWS agreement addenda is a document that outlines additional terms and conditions to be added to the original agreement between DPH (Department of Public Health) and WICWS (Women, Infants, and Children Welfare Services).
Any party involved in the DPH WICWS agreement is required to file the addenda if there are any changes or additional terms to be included.
To fill out the DPH WICWS agreement addenda, parties need to review the original agreement, make necessary updates or additions, and then sign and submit the document as per the instructions provided.
The purpose of the DPH WICWS agreement addenda is to ensure that any modifications or additions to the original agreement are clearly documented and agreed upon by all parties involved.
The DPH WICWS agreement addenda must include details of the changes or additions made to the original agreement, as well as the reasons for these modifications.
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