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ATTACHMENT C 30DAY FOLLOWUP NOTIFICATION REPORT FORM CONTRA COSTA HEALTH SERVICESINSTRUCTIONS: A hard copy and an electronic copy of this report is to be submitted for all Level 2 and 3 incidents

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How to fill out contra costa health services

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Visit the Contra Costa Health Services website.

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Submit the completed form through the designated method (online, in person, by mail, etc.).

Who needs contra costa health services?

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Residents of Contra Costa County who require medical services or public health resources.

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Individuals seeking assistance with healthcare coverage or enrollment in healthcare programs.

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People in need of mental health services or substance abuse treatment.

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What is contra costa health services?

Contra Costa Health Services is a public healthcare system that provides medical, dental, behavioral health, and environmental health services to residents of Contra Costa County in California.

Who is required to file contra costa health services?

Individuals, businesses, and healthcare providers who operate within Contra Costa County may be required to file with Contra Costa Health Services.

How to fill out contra costa health services?

To fill out Contra Costa Health Services forms, individuals and businesses can visit the official website or contact the department directly for guidance.

What is the purpose of contra costa health services?

The purpose of Contra Costa Health Services is to promote and protect the health and well-being of residents in Contra Costa County through various healthcare programs and services.

What information must be reported on contra costa health services?

Information such as personal health records, medical history, insurance information, and other relevant healthcare data may need to be reported on Contra Costa Health Services forms.

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