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Click the icon below for the Microsoft Excel version of the MTHACMP1 form.**This information sheet should be read in conjunction with the latest Monthly Activity Collection (MAC) Data Collection Guidelines
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How to fill out multipurpose health service mthacmp1

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How to fill out multipurpose health service form

01
Start by reading the instructions on the form carefully.
02
Fill out personal information such as name, address, date of birth, and contact number.
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Provide details about your medical history, including any previous conditions or medications taken.
04
Answer all the questions accurately and truthfully.
05
If unsure about any section, seek assistance from a healthcare provider or staff member.

Who needs multipurpose health service form?

01
Anyone seeking access to multipurpose health services such as medical consultations, screenings, and treatments.

What is Multipurpose Health Service (MTHACMP1) Form?

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Instructions for the Multipurpose Health Service (MTHACMP1) form

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The multipurpose health service form is a document used to collect information about health services provided by a facility.
Health facilities and service providers are required to file the multipurpose health service form.
The multipurpose health service form can be filled out by providing details about the health services offered by the facility.
The purpose of the multipurpose health service form is to track and monitor the health services provided by different facilities.
Information such as types of health services offered, number of patients served, and any specific programs or initiatives should be reported on the multipurpose health service form.
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