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440-0377
|
DOH/ DOH5000/ DOH50005039
|
39-06
|
Ryan White CARE Program Intake Form
|
|
|
07/27/1992
|
|
|
440-0378
|
DOH/ DOH5000/ DOH50005039
|
39-07
|
HIV Counselling and Testing Reports
|
|
|
07/27/1992
|
|
|
440-0379
|
DOH/ DOH5000/ DOH50005039
|
39-08
|
HIV Counselling & Testing Database
|
|
|
07/27/1992
|
|
|
440-0380
|
DOH/ DOH5000/ DOH50005039
|
39-09
|
AIDS Confidential Case Reports
|
|
|
07/27/1992
|
|
|
440-0381
|
DOH/ DOH5000/ DOH50005039
|
39-10
|
HIV Program Surveys
|
|
|
07/27/1992
|
|
|
440-0382
|
DOH/ DOH5000/ DOH50005039
|
39-11
|
No Identified Risk (NIR) Closure Checkli
|
|
|
07/27/1992
|
|
|
440-0383
|
DOH/ DOH6000/ DOH60006041
|
41-01
|
Child & Family Health Services Biennial
|
|
|
07/27/1992
|
|
|
440-0384
|
DOH/ DOH7000/ DOH70007051
|
51-14
|
Public Voucher for Purchases and Service
|
|
|
07/27/1992
|
|
|
440-0385
|
DOH/ DOH7000/ DOH70007051
|
51-20
|
Lead Reporting and Invoicing Form
|
|
|
07/27/1992
|
|
|
440-0386
|
DOH/ DOH7000/ DOH70007051
|
53-02
|
Food Protection Survey Methodology and f
|
|
|
07/27/1992
|
|
|
440-0388
|
DOH/ DOH2000/ DOH20002062
|
62-01-DS
|
Systems Documentation Forms
|
|
|
07/27/1992
|
|
|
440-0390
|
DOH/ DOH2000/ DOH20002062
|
62-03
|
Request for Data Services
|
|
|
07/27/1992
|
|
|
440-0391
|
DOH/ DOH2000/ DOH20002062
|
62-04
|
Data Entry Job Request Form
|
|
|
07/27/1992
|
|
|
440-0392
|
DOH/ DOH2000/ DOH20002062
|
62-05
|
Data Services Request Log
|
|
|
07/27/1992
|
|
|
440-0393
|
DOH/ DOH3000/ DOH30003016
|
14-03-HFR
|
HMO Complaints
|
|
|
07/27/1992
|
|
|
440-0394
|
DOH/ DOH6000/
|
29-01
|
Family/Patient Medical Records
|
|
|
07/27/1992
|
|
|
440-0395
|
DOH/ DOH7000/ DOH70007051
|
51-25
|
Agriculture Labor Camps; plans & diagram
|
|
|
10/29/1992
|
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