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NM Breast and Cervical Cancer Early Detection (BCC) ProgramClinicBased Patient Navigation (IN) Formulaic AND LOCATION/CITY:FY24: July 2023 June 2024DOB:BCC ENROLLED NAME:
ADDRESS:AGE:CITY:TELEPHONE
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How to fill out nm dept of health
How to fill out nm dept of health
01
Obtain the NM Dept of Health form either online or at a local health department office.
02
Fill out all required personal information such as name, address, date of birth, and contact information.
03
Provide details about your medical history, current health status, and any medications you are taking.
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Submit the completed form to the NM Dept of Health through the designated method (online submission, mailing, or in person).
Who needs nm dept of health?
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Individuals who are seeking healthcare services from the New Mexico Department of Health.
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Healthcare providers who need to collect and submit patient information to the NM Dept of Health for public health purposes.
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Researchers or government agencies who require data from the NM Dept of Health for research or policy-making.
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What is nm dept of health?
The New Mexico Department of Health is a state agency responsible for public health services in New Mexico, including monitoring health trends, promoting health education, and providing direct health services.
Who is required to file nm dept of health?
Individuals and entities that are required to report certain health-related data or seek health services from the agency must file with the New Mexico Department of Health.
How to fill out nm dept of health?
To fill out forms for the New Mexico Department of Health, you should obtain the appropriate form from their website, complete it with accurate information, and submit it according to the provided instructions.
What is the purpose of nm dept of health?
The purpose of the New Mexico Department of Health is to protect and improve the health of New Mexico residents through disease prevention, health promotion, and public health initiatives.
What information must be reported on nm dept of health?
Information that must be reported typically includes data related to communicable diseases, vaccination rates, health service utilization, and other public health indicators.
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