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DRAFT TRIBAL DATA SHARING AGREEMENT (TDSA) BETWEEN STATE OF WASHINGTON DEPARTMENT OF HEALTH AND [TRIBE] Approved via Tribal Consultation: [DATE] CONTACT INFORMATION FOR PARTIES TO AGREEMENT: Whoever
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01
Obtain the DOH Tribal DSA template from the official website or relevant office.
02
Read the instructions provided with the template carefully.
03
Fill in the basic information, including your name, tribe affiliation, and contact details.
04
Complete the sections regarding the services you are requesting or the purpose of the application.
05
Provide any necessary supporting documentation as specified in the template.
06
Review all entries for accuracy and completeness.
07
Sign and date the document where required.
08
Submit the completed DSA template to the appropriate office by the specified deadline.

Who needs doh tribal dsa template?

01
Tribal health organizations seeking funding or assistance from the Department of Health.
02
Tribal representatives and officials involved in health-related planning and programming.
03
Individuals or groups within a tribe requiring access to health services or resources.
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The DOH Tribal DSA template is a form used by tribal organizations to report data for public health and compliance with regulatory standards. It standardizes the collection of information related to health initiatives within tribal communities.
Tribal organizations and health entities that receive funding or support from the Department of Health are required to file the DOH Tribal DSA template to ensure compliance and accurate reporting.
To fill out the DOH Tribal DSA template, organizations should refer to the instructions provided with the template, gather necessary data such as demographic information, health metrics, and program outcomes, and input this information accurately into the designated fields.
The purpose of the DOH Tribal DSA template is to facilitate the reporting of public health data, ensure accountability in health programs, and promote evidence-based decision-making for health initiatives within tribal communities.
The information that must be reported on the DOH Tribal DSA template includes demographic data, health status indicators, details on health programs implemented, outcomes achieved, and additional metrics related to the effectiveness of health initiatives.
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