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DCH-1315-Healthy Michigan Assessment-FINAL-PLAN COPY 4 28 14docx-2026
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- Click ‘Get Form’ to open the DCH-1315 document in the editor.
- Begin by filling out your personal information in the designated fields, including your name, date of birth, and contact details.
- Proceed to Section 1, where you will answer initial assessment questions. Check one option for each question regarding your health and lifestyle habits.
- In Section 2, provide details about your annual appointment. Specify the month you scheduled it and any topics you wish to discuss with your doctor.
- Move to Section 3 and select one or more healthy behaviors you are interested in changing over the next year. Rate your readiness for change using the provided scale.
- Leave Section 4 blank for your primary care provider to complete during your appointment. Ensure they sign and date this section after filling it out.
- Once completed, save a copy of the form for your records. You can print it directly from our platform or download it as needed.
Start editing your DCH-1315 form today for free and take a step towards better health!
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