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DocuSign Envelope ID: DF084773E37E4EC3A8DFBC6AF19B8069 C9B1D5623B2B445AA3EDC2813EAB44B4COLLABORATIVE WORKING AGREEMENT BETWEEN GALENA PARK INDEPENDENT SCHOOL DISTRICT AND LEGACY COMMUNITY HEALTH SERVICES,
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01
Obtain the necessary forms from the community health services office.
02
Fill out all personal information such as name, address, phone number, and date of birth.
03
Provide detailed information about your medical history and current health status.
04
Be sure to list any medications you are currently taking and any allergies you may have.
05
If applicable, include information about your insurance coverage.
06
Submit the completed forms to the community health services office either in person or by mail.

Who needs legacy community health services?

01
Individuals who require ongoing medical care and support.
02
Those who have chronic health conditions that require monitoring and management.
03
People who may not have easy access to traditional healthcare services.
04
Families and caregivers of individuals with special needs or disabilities.
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Legacy community health services refer to healthcare services that have been established in a community for an extended period of time and have become an integral part of the healthcare system.
Healthcare providers, organizations, or facilities that offer community health services are required to file legacy community health services.
Legacy community health services can be filled out by providing information about the type of services offered, the demographics of the community served, and any outcomes or impact of the services.
The purpose of legacy community health services is to ensure that quality healthcare services are provided to the community and to improve the overall health and well-being of the population.
Information that must be reported on legacy community health services includes the number of patients served, types of services provided, any collaborations or partnerships, and any measurable outcomes.
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