Form DHS4496 American Indian Infant Health Initiative (Aiihi) Quarterly Progress Report - California

Form DHS4496 American Indian Infant Health Initiative (Aiihi) Quarterly Progress Report - California

What Is Form DHS4496?

This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DHS4496?
A: DHS4496 is a form used for the American Indian Infant Health Initiative (Aiihi) Quarterly Progress Report.

Q: What is the American Indian Infant Health Initiative (Aiihi)?
A: The Aiihi is a program that focuses on improving the health outcomes of American Indian infants.

Q: What is the purpose of the Quarterly Progress Report?
A: The Quarterly Progress Report is used to track and report the progress of the Aiihi program in California.

Q: Who is required to complete the DHS4496 form?
A: The DHS4496 form is completed by organizations or individuals involved in the Aiihi program in California.

Q: What information is included in the Quarterly Progress Report?
A: The report includes information on program activities, outreach efforts, services provided, and outcomes achieved.

Q: How often is the Quarterly Progress Report submitted?
A: The report is submitted every quarter to track the progress of the Aiihi program.

Q: Is the DHS4496 form specific to California?
A: Yes, the form is specific to the California implementation of the Aiihi program.

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Form Details:

  • Released on May 1, 2003;
  • The latest edition provided by the California Department of Health Care Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DHS4496 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form DHS4496 American Indian Infant Health Initiative (Aiihi) Quarterly Progress Report - California

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