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Date: ___ Name: ___ DOB: ___ Provider: ___ Height (in 00) ___ Weight (in lbs.) ___ Waist circumference ___ If the answer to #1 in any of these sections is No/Don't Know/Don't want to answer, skip
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How to fill out wa state wisewoman baselinefollow

01
Obtain the WA State WiseWoman Baseline Follow-up Form from the appropriate source.
02
Fill in the required information such as participant's name, contact information, birthdate, etc.
03
Answer the baseline follow-up questions accurately and honestly.
04
Ensure all sections of the form are completed before submitting it for review.

Who needs wa state wisewoman baselinefollow?

01
Individuals who have participated in the WA State WiseWoman program and are required to complete the baseline follow-up form.

What is WA State WISEWOMAN Baseline/Follow Up Screening . WISEWOMAN program screening Form?

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The WA State Wisewoman Baseline Follow is a reporting tool used by the Washington State Department of Health to track and evaluate the implementation of screening and support services for women eligible for the Wisewoman program.
Healthcare providers and organizations that are participants in the Wisewoman program and provide services to eligible women are required to file the WA State Wisewoman Baseline Follow.
To fill out the WA State Wisewoman Baseline Follow, participants must gather relevant data regarding screening services provided, patient demographics, and health outcomes, and complete the form according to the guidelines provided by the Washington Department of Health.
The purpose of the WA State Wisewoman Baseline Follow is to gather data that helps assess the effectiveness of services provided to women, ensure compliance with program requirements, and improve health outcomes for participants.
Information that must be reported includes participant demographics, the number of screenings performed, follow-up care provided, and any relevant health outcomes or risk factors identified.
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