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Mississippi State Department of Health Contract Worker/Independent Contractor Determination Worksheet Agency Program Unit: Name of Individual/Contractor: Project/Program: Completed by:Date:Instructions:
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Mississippi State Department of Health is responsible for overseeing public health issues in the state.
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Healthcare providers, facilities, and certain businesses may be required to file reports with the Mississippi State Department of Health.
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Forms can be obtained from the Mississippi State Department of Health website and should be completed with accurate information.
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The purpose is to gather data on public health issues, track disease outbreaks, and ensure compliance with health regulations.
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Information such as patient demographics, medical conditions, and treatment outcomes may need to be reported.
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