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RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO: County of Placer Health and Human Services 3091 County Center Drive, Ste. 290 Auburn, CA 95603 ___ (Space Above for Recorders Use)USE DEED RESTRICTION
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Health and Human Servicesplacer is a form used to report health information and services provided to individuals.
Healthcare providers who offer health services to individuals are required to file the Health and Human Servicesplacer form.
Health and Human Servicesplacer can be filled out electronically or by hand, providing all necessary health information accurately.
The purpose of Health and Human Servicesplacer is to track and report health services provided to individuals for regulatory and statistical purposes.
Health and Human Servicesplacer requires reporting of detailed information on the health services provided, including dates, procedures, diagnoses, and patient demographics.
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