WebStaying Healthy Forms. DHCS 7098 A - Staying Healthy Assessment 0-6 Months English Spanish Russian Tagalog. DHCS 7098 B - Staying Healthy Assessment 7-12 Months … WebState of California —Health and Human Services Agency Department of Health Care Services Staying Healthy Assessment Adult Patient’s Name (first & last) Date of Birth …
Staying Healthy Assessment FAQs - San Francisco Health Plan
WebDC Healthy Families is a program that provides free health insurance to DC residents who meet certain income and U.S. citizenship or eligible immigration status to qualify for DC … WebStaying Healthy Assessment . Senior . Patient’s Name (first & last) Date of Birth Female Male Today’s Date Person Completing Form (if patient needs help) ... State of California — Health and Human Services Agency Department of Health Care Services . Clinic Use Only . Counseled Referred Anticipatory Guidance Follow-up Ordered Comments ... cities with the worst traffic ranked
Staying Healthy Assessment Senior - Health Net California
WebState of California — Health and Human Services Agency Department of Health Care Services DHCS 7098 H (Rev 12/13) SHA (Adult) Page 1 of 2 Staying Healthy Assessment Adult Patient’s Name (first & last) Date of Birth Female Male Today’s Date Person Completing Form (if patient needs help) Family Member Friend Other (Specify) ... http://www.partnershiphp.org/Providers/HealthServices/Pages/SHA-Training-for-Providers.aspx WebAug 5, 2024 · The Staying Healthy Assessment (SHA) is the Department of Health Care Services’ (DHCS’s) Individual Health Education Behavior Assessment (IHEBA). The SHA was first developed in the late 1990s and updated in June 2013 in collaboration with Medi-Cal managed care plans (Plans). cities with the worst redlining