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Dane County Department of Human Services Division of Prevention & Early Intervention Partners for After School Success (PASS) A CommunityBased AmeriCorps ProgramPASS AmeriCorps Application Summer
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Gather all required personal and medical information.
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Access the Division of Prevention Early form through the designated portal.
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Fill out personal details accurately, including name, address, and contact information.
04
Provide medical history relevant to prevention services.
05
Specify any current health concerns or risk factors.
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Review the filled-out form for completeness and accuracy.
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Submit the form according to the provided instructions.

Who needs division of prevention early?

01
Individuals seeking preventive health services.
02
People at risk of developing health issues.
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Those wanting to access early intervention programs.
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Healthcare providers referring patients for preventive services.
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The division of prevention early is a program aimed at identifying and mitigating risks before they escalate into significant issues, particularly in health and social services.
Individuals or organizations that are involved in preventive programs or services must file the division of prevention early, including healthcare providers, social service agencies, and educational institutions.
To fill out the division of prevention early, you need to complete the designated form accurately, providing details about the preventive measures being implemented, the target population, and expected outcomes.
The purpose of the division of prevention early is to promote proactive approaches to addressing potential public health and social issues, ensuring timely interventions that can improve outcomes and reduce long-term costs.
Information that must be reported includes the type of prevention program, objectives, target population, methods of assessment, funding sources, and anticipated impact.
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