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How to use or fill out Newcomer Health Program Supplemental Data Collection Form - vdh virginia
- Click ‘Get Form’ to open it in the editor.
- Begin by entering the patient's Alien ID# and full name in the designated fields. Ensure accuracy for proper identification.
- Fill in the Date of Arrival in the US and Date of Birth, along with the Patient Number and VOLAG information.
- Indicate whether the patient received an initial health screening by selecting 'Yes' or 'No'. If 'No', provide a reason from the options listed.
- Complete the Assessment Findings section by checking appropriate boxes for gender, evaluations, and any nutritional abnormalities found.
- In the Referral section, indicate if referrals are needed for various health issues by checking 'Yes' or 'No' as applicable.
- Document Laboratory Findings by marking whether tests were done and their results. Ensure all relevant sections are filled out accurately.
- Finally, complete the Tuberculosis Screening section and provide your contact information at the bottom of the form before submitting.
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