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Community Needs Assessment
For example, you may want to assess demographics, statistical data of a population such as age, income, education level, type of work site/health facility/
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PHYSICIANS REPORT-CHILD CARE CENTERS
a.m./p.m. to. a.m./p.m. , days a week. Please provide a report on above-named child using the form below. I hereby authorize release of medical information
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PHYSICIANS REPORT FOR COMMUNITY CARE
PHYSICIANS REPORT FOR COMMUNITY CARE FACILITIES below is a resident/client of or an applicant for admission to a licensed Community Care Facility.
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