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MULTISTORY SERVICE ACCOUNTABILITY AGREEMENT April 1, 2014, to March 31, 2017, SERVICE ACCOUNTABILITY AGREEMENT with Norwich Community Health Center Effective Date: April 1, 2014, Index to Agreement
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How to fill out woolwich community health centre
How to fill out Woolwich Community Health Centre:
01
Gather all necessary personal information, such as your full name, date of birth, and contact details.
02
Fill out the patient registration form provided by the health centre. Provide accurate details about your medical history, any existing conditions, and medications you may be taking.
03
If applicable, bring your health insurance information and ensure that it is accurately recorded on the form.
04
Specify your preferred method of communication with the health centre, whether it's by phone, email, or in-person visits.
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Indicate your consent for the health centre to access your medical records, and if necessary, request any relevant records to be transferred from your previous healthcare provider.
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If you require any specific accommodations or have any accessibility needs, make sure to mention it on the form.
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Review the completed form for accuracy and signature, if required.
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Submit the completed form to the reception desk or administrative staff at the Woolwich Community Health Centre.
Who needs Woolwich Community Health Centre:
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Individuals residing in the Woolwich community who require primary healthcare services.
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Women in need of gynecological care, prenatal care, or family planning services.
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Individuals who do not have a regular healthcare provider or are new to the area and require immediate medical attention.
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