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Form SFN705 Health Tracks Appointment Slip - North Dakota
What Is Form SFN705?
This is a legal form that was released by the North Dakota Department of Health and Human Services - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form SFN705?
A: Form SFN705 is the Health Tracks Appointment Slip used in North Dakota.
Q: What is Health Tracks?
A: Health Tracks is a program in North Dakota that provides preventive health services for eligible children and youth.
Q: Who needs to use Form SFN705?
A: Parents or guardians of children and youth enrolled in the Health Tracks program in North Dakota need to use Form SFN705.
Q: What is the purpose of Form SFN705?
A: Form SFN705 is used to schedule appointments for Health Tracks services.
Q: What information do I need to fill out on Form SFN705?
A: You need to provide the child's name, date of birth, Health Tracks ID number (if available), contact information, and preferred provider information.
Q: Is there a deadline for submitting Form SFN705?
A: There is no specific deadline for submitting Form SFN705, but it is recommended to schedule appointments as soon as possible.
Q: What happens after I submit Form SFN705?
A: Once you submit Form SFN705, the Health Tracks program will contact you to schedule the requested appointments.
Q: Can I make changes to the scheduled appointments?
A: Yes, you can contact the Health Tracks program to make changes to the scheduled appointments if needed.
Q: Is there a fee for Health Tracks services?
A: No, Health Tracks services are provided at no cost to eligible children and youth in North Dakota.
Form Details:
- Released on February 1, 2006;
- The latest edition provided by the North Dakota Department of Health and Human 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 SFN705 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health and Human Services.
