1147 risk evaluation fillable-2025

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This form is used by DHS federal employees to request that the Office of Security, Personnel Security Division perform the appropriate fitness screening on contract employees based on the risk levels of their position.
How to fill out the DHS Form 1147 Care Evaluation Instructions? Review the evaluation request type and patient information. Fill in patient address, Medicare, Medicaid details as applicable. Complete the assessment information, ensuring accuracy. Check the request type and enter relevant dates and approvals.
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