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FISCAL YEAR 2022Community Health & WellBeing Impact Reporter Mission We, Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our
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How to fill out can community health releases

01
Obtain the specific form for community health releases from the CAN organization.
02
Fill out personal information such as name, address, contact details, and date of birth.
03
Provide details of any medical conditions, allergies, or medications being taken.
04
Sign and date the form to confirm authorization for the release of health information.
05
Submit the completed form to the designated recipient or organization.

Who needs can community health releases?

01
Individuals who are seeking medical treatment or services from the CAN community health program.
02
Patients who may require their health information to be shared with other healthcare providers or facilities.
03
Legal guardians or caregivers of individuals who are unable to provide consent themselves.
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