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ATTACHMENT C 30 DAY FOLLOWUP NOTIFICATION REPORT FORM CONTRA COSTA HEALTH SERVICESINSTRUCTIONS: This report is to be submitted for all Level 2 and 3 incidents or when requested by CCS. See Attachment

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How to fill out 30 day follow-up notification

01

Start by reviewing the initial communication or transaction that requires a 30-day follow-up notification.

02

Gather all the necessary information and documents related to the communication or transaction.

03

Fill out the relevant sections of the 30-day follow-up notification form, including the date of the initial communication, the nature of the communication, and any requested action or next steps.

04

Double check the accuracy and completeness of the information provided in the form before submitting it.

05

Submit the completed 30-day follow-up notification to the appropriate recipient or department as instructed.

Who needs 30 day follow-up notification?

01

Any individual or organization that has initiated a communication or transaction that requires follow-up after 30 days may need to fill out a 30-day follow-up notification.

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What is 30 day follow-up notification?

The 30 day follow-up notification is a report that provides an update on a specific event or situation within 30 days from the initial notification.

Who is required to file 30 day follow-up notification?

The individuals or entities involved in the initial notification of the event or situation are typically required to file the 30 day follow-up notification.

How to fill out 30 day follow-up notification?

The 30 day follow-up notification is typically filled out by providing updated information or developments related to the event or situation originally reported.

What is the purpose of 30 day follow-up notification?

The purpose of the 30 day follow-up notification is to ensure that relevant stakeholders are kept informed and updated on the progress or changes related to the initial event or situation.

What information must be reported on 30 day follow-up notification?

The 30 day follow-up notification typically includes updated information, status updates, any new developments, and any changes related to the initial event or situation.

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