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1515 North Saint Joseph Avenue PO Box 8000 Marsh field, WI 544498000 1.800.472.2363 | 715.221.9555 TTY: 711Step Therapy OverrideCoverage Determination RequestDate___Member information Member name
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Visit the Sixteenth Street Community Health Center website or location
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Fill out the required patient intake form
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Individuals in the Milwaukee area seeking affordable and accessible healthcare services
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Sixteenth Street Community Health Centers is a non-profit community health center located in Milwaukee, Wisconsin.
Any individual or organization that receives funding or services from Sixteenth Street Community Health Centers may be required to report.
To fill out Sixteenth Street Community Health forms, individuals or organizations can visit their website for instructions or contact their office directly for assistance.
The purpose of Sixteenth Street Community Health is to provide accessible and quality healthcare services to the community, especially to underserved populations.
Information such as demographics, medical history, insurance information, and treatment plans may need to be reported on Sixteenth Street Community Health forms.
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