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Enrollment Form for: Community Health Worker (CHW) Douala Maternal Infant Health Program (MIP) Michigan Diabetes Prevention Program (MiDPP) Provider Instructions 1. Please complete all fields below.
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How to fill out community-based maternal support services

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How to fill out community-based maternal support services

01
Identify the community-based maternal support services available in your area
02
Contact the organization providing the services and inquire about the process to sign up
03
Fill out any necessary forms or applications with your personal information and medical history
04
Attend any required informational sessions or appointments to assess your needs and set goals
05
Engage with the support services provided, including attending group meetings, participating in educational workshops, and utilizing any resources offered

Who needs community-based maternal support services?

01
Pregnant women who require additional support during pregnancy and postpartum
02
Mothers who may be experiencing difficulties adjusting to motherhood or facing challenges with their health
03
Families who may benefit from community-based resources and connections to services that support maternal and child well-being
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Community-based maternal support services are services provided to pregnant women and new mothers in their local community to promote maternal and infant health.
Healthcare providers, community organizations, and government agencies may be required to file community-based maternal support services.
Community-based maternal support services can be filled out online or by submitting a form with the required information.
The purpose of community-based maternal support services is to ensure that pregnant women and new mothers receive the necessary support and resources to have a healthy pregnancy and postpartum period.
Information such as the number of pregnant women served, types of services provided, outcomes of the services, and demographic information may need to be reported on community-based maternal support services.
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