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Local Zoning Format(This form is to be completed by the local zoning office and not by the facility applicant.)TO:The Agency for Health Care Administration Hospital and Outpatient Services Unit 2727
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Gather all necessary information related to the individual's health history, such as medical conditions, medications, and allergies.
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Complete all required personal information, including name, date of birth, and contact information.
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Provide information about current health insurance coverage, if applicable.
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Answer any specific questions about health care preferences or goals.
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Who needs what is health care?

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Individuals who are seeking medical treatment or services.
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Health care is the maintenance or improvement of health via the prevention, diagnosis, treatment, recovery, or cure of disease, illness, injury, and other physical and mental impairments in people.
Health care providers, insurance companies, and individuals may be required to file for health care coverage.
To fill out health care forms, individuals may need to provide personal information, medical history, and insurance details.
The purpose of health care is to ensure individuals have access to necessary medical services to maintain or improve their health.
Information such as medical diagnoses, treatments, medications, and insurance coverage may need to be reported on health care forms.
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