OR DHS 8470M 2011-2025 free printable template
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PUBLIC HEALTH DIVISION HIV/STD/TB Program HIV Care and Treatment Program Oregon HIV Medical Care Coordination (MCC) Case Conference Form Optional form RN File Client name: Care coordinator: Case conference
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How to fill out OR DHS 8470M
01
Obtain a copy of the OR DHS 8470M form from the official Oregon Department of Human Services website.
02
Carefully read the instructions provided with the form to understand the required information.
03
Start filling out the form by entering your personal details, including your name, address, and contact information.
04
Provide any relevant identification numbers, such as your Social Security number or case number, if applicable.
05
Complete sections that require details pertaining to your situation or need for services.
06
Review the completed form for any errors or missing information.
07
Sign and date the form as required.
08
Submit the completed form according to the instructions, either by mail or electronically.
Who needs OR DHS 8470M?
01
Individuals applying for or receiving services from the Oregon Department of Human Services.
02
Families seeking assistance programs within the state.
03
Persons required to report changes in their circumstances that may affect their eligibility for services.
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What is OR DHS 8470M?
OR DHS 8470M is a form used in Oregon related to various health and social services reporting requirements, primarily concerning the collection and management of health data.
Who is required to file OR DHS 8470M?
Organizations and individuals providing specific health and social services in Oregon are typically required to file OR DHS 8470M, especially those receiving state funding.
How to fill out OR DHS 8470M?
To fill out OR DHS 8470M, recipients must complete all sections of the form accurately, providing detailed data as required, ensuring that no information is left blank unless specified.
What is the purpose of OR DHS 8470M?
The purpose of OR DHS 8470M is to collect data necessary for evaluating health and social service programs, ensuring accountability and effectiveness in service delivery.
What information must be reported on OR DHS 8470M?
The information reported on OR DHS 8470M typically includes client demographics, service utilization, and outcomes associated with the services provided.
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