
Get the free Take Charge Screening and Diagnostic Services ODH Form No. 1342
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Take Charge Screening and Diagnostic Services ODD Form No. 1342
Send Completed Form to Take Charge via secure email/fax to CancerPCP@health.ok.gov or 4059007609
Part 1: DEMOGRAPHICS
Clinic name:Clinic
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What is take charge screening?
Take charge screening is a process to assess an individual's ability to take charge and make decisions in a given situation.
Who is required to file take charge screening?
Only certain individuals designated by their organization may be required to file take charge screening.
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Take charge screening forms may require information such as previous experience, qualifications, and references.
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