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County of Fresno Department of Public HealthOffice Use Only CT ___ #___Public Health Nursing Referral Form (559) 6003330 Fax: (559) 4554705 Email: phnfax@fresnocountyca.gov Date of Referral: Reason

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Locate the section designated for 'Office Use Only' on the form

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Fill in any necessary information that is specifically for internal office use

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What is office use only public?

Office use only public refers to a designation for documents or forms that are intended to be processed and reviewed internally by an organization and are not meant for public disclosure.

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The information that must be reported usually includes identification details of the filer, type of request or form being submitted, and any relevant case or reference numbers.

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