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Indian Health Service The Federal Health Program for American Indians and Alaska Natives


     Indian Health Manual
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Part 1, Chapter 1:  Manual Exhibit 1-1-D

Example - Indian Health Service Headquarters Circular Format

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service
Rockville, Maryland 20852

Refer to: OMS

INDIAN HEALTH SERVICE CIRCULAR NO. 2005-XX

HEADQUARTERS IHS CIRCULAR FORMAT

Sec.
1. Purpose
2. Format
3. Section Designations
4. Subsequent Headings
5. Subsequent Pages
6. Supersedure
7. Effective Date
Circular Exhibit 2005-XX-A - Format Illustrated

  1. PURPOSE.  To illustrate the proper format for circulars issued by IHS Headquarters functional areas.
  2. FORMAT.  See IHM, Part 1, Chapter 1, Section 1-1.6C, for information regarding formatting IHS circulars.  Area Office supplements to the IHS circulars include the location name of the Area Offices in the header as described in Section 1-1.7B.  The text of the circular should be in outline format and double-spaced between information sections.  Sub-paragraphs should be indented five spaces.
  3. SECTION DESIGNATIONS.  The numeric/alpha designations for circular sections is covered in Section 1-1.6C(2) on page 19 of IHM 1-1.
  4. SECTION HEADINGS.  Titles for the section headings in circulars should reflect the subject covered in the section.  Suggested section headings are included in Section 1-1.6C(1), page 18, of IHM 1-1.
  5. SUBSEQUENT PAGES.  See Section 1-1.6C(6), IHM 1-1, for the requirements for headers and footers on pages subsequent to the title page of the circular.
  6. SUPERSEDURE.  List all documents that the information in the circular is replacing.
  7. EFFECTIVE DATE.  Cite the date that the policy/procedures included in the circular are to be effective.  This date is usually the date that the circular is signed.

/Charles W. Grim, DDS/
Charles W. Grim, D.D.S., M.H.S.A.
Assistant Surgeon General
Director, Indian Health Service


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